title: Late results of esophagogastric devascularization and splenectomy associated with endoscopic treatment in patients with schistosomiasis.
abstract: BACKGROUND
  Schistosomiasis is endemic problem in Brazil affecting about three to four million people, and digestive hemorrhage caused by esophageal varices rupture is the main complication of the disease. Surgical treatment has become a therapeutic option, especially for secondary prophylaxis after at least one episode of bleeding. The surgical technique used by the vast majority of surgeons for the prevention of rebleeding is esophagogastric devascularization and splenectomy. Although with good postoperative results, rebleeding rate is significant, showing the need to follow-up endoscopy in all patients.
  
  
  OBJECTIVE
  To evaluate long-term results of patients submitted to esophagogastric devascularization and splenectomy and postoperative endoscopic treatment regarding esophageal varices caliber and rebleeding rates.
  
  
  METHODS
  A retrospective study of 12 patients underwent esophagogastric devascularization and splenectomy followed for more than five years.
  
  
  RESULTS
  All patients showed varices size reduction, and no patient had postoperative bleeding recurrence.
  
  
  CONCLUSIONS
  Esophagogastric devascularization and splenectomy decreased significantly the esophageal variceal size when associated with endoscopic follow-up, being effective for bleeding recurrence prophylaxis.
authors.affiliation: Departamento de Clínica Cirúrgica, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, GO, Brazil.
authors.forename: Walter De Biase
authors.initials: Wde B
authors.lastname: da Silva-Neto
authors.affiliation: Departamento de Clínica Cirúrgica, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, GO, Brazil.
authors.forename: Claudemiro
authors.initials: C
authors.lastname: Quireze-Júnior
authors.affiliation: Departamento de Clínica Cirúrgica, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, GO, Brazil.
authors.forename: Thiago Miranda
authors.initials: TM
authors.lastname: Tredicci
mesh_terms: D000328:Adult; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery*; D004945:Esophagoscopy; D004947:Esophagus / Q000098:blood supply* / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D012552:Schistosomiasis / Q000601:surgery*; D013156:Splenectomy; D013270:Stomach / Q000098:blood supply* / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult