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- W1998030737 abstract "Extrahepatic portal venous obstruction, although rare in the western world, is a common cause of major and life threatening upper gastrointestinal bleeding among the poor in developing countries. Patients have large spleens and stunted growth. The diagnosis is easily confirmed by Doppler ultrasonography. Endoscopy sclerotherapy is the best option for the control of acute variceal bleeding. For secondary prophylaxis of bleeding, the choice lies between repeated sclerotherapy and a portosystemic shunt. We believe that due consideration should be given to performing a splenectomy and a lienorenal shunt. Performed by experienced surgeons, it carries a low operative mortality of 1%, a rebleeding rate of about 10%, removes the large spleen, reverses hypersplenism, and is not followed by portosystemic encephalopathy. Most importantly, it is a onetime procedure particularly suited to those who have little access to blood transfusion and sophisticated medical facilities." @default.
- W1998030737 created "2016-06-24" @default.
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- W1998030737 date "2013-01-01" @default.
- W1998030737 modified "2023-10-14" @default.
- W1998030737 title "Management of Bleeding in Extrahepatic Portal Venous Obstruction" @default.
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- W1998030737 doi "https://doi.org/10.1155/2013/784842" @default.
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