[Splenectomy and esophagogastric devascularization for advanced schistosomiasis with cavernous transformation of portal vein].
OBJECTIVE
To explore a surgical treatment of advanced schistosomiasis with cavernous transformation of the portal vein.


METHODS
The clinical data of 18 patients who suffered from advanced schistosomiasis with cavernous transformation of the portal vein were collected and analyzed retrospectively in the Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases.


RESULTS
Two cases were undertaken the endoscopic variceal ligation, and the upper gastrointestinal bleeding happened 32 months and 40 months after the treatment respectively, and they received the splenectomy and esophagogastric devascularization again; 16 cases were undertaken the splenectomy and esophagogastric devascularization. During the follow-up of 6-72 months, no esophageal and gastric varices were found.


CONCLUSIONS
Splenectomy and esophagogastric devascularization is effective in the treatment of advanced schistosomiasis with cavernous transformation of the portal vein.
Xiangyue Hospital Affiliated to Hunan Institute of Parasitic Diseases, National Clinical Center for Schistosomiasis Treatment, Hunan Province, Yueyang 414000, China.
Feng-Qiu
FQ
Luo
Xiangyue Hospital Affiliated to Hunan Institute of Parasitic Diseases, National Clinical Center for Schistosomiasis Treatment, Hunan Province, Yueyang 414000, China
Jia-Xin
JX
Liu
Xiangyue Hospital Affiliated to Hunan Institute of Parasitic Diseases, National Clinical Center for Schistosomiasis Treatment, Hunan Province, Yueyang 414000, China
Ge
G
Pan
Xiangyue Hospital Affiliated to Hunan Institute of Parasitic Diseases, National Clinical Center for Schistosomiasis Treatment, Hunan Province, Yueyang 414000, China
Peng
P
Wang
Xiangyue Hospital Affiliated to Hunan Institute of Parasitic Diseases, National Clinical Center for Schistosomiasis Treatment, Hunan Province, Yueyang 414000, China
Guo-Jian
GJ
Ding
Xiangyue Hospital Affiliated to Hunan Institute of Parasitic Diseases, National Clinical Center for Schistosomiasis Treatment, Hunan Province, Yueyang 414000, China
Wei-Cheng
WC
Deng
D000293:Adolescent; D000328:Adult; D004947:Esophagus / Q000098:blood supply; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000473:pathology*; D012189:Retrospective Studies; D012552:Schistosomiasis / Q000150:complications* / Q000601:surgery; D013156:Splenectomy / Q000379:methods*; D013270:Stomach / Q000098:blood supply