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- W2372146905 abstract "Objective To evaluate the effect of combination splenectomy and endoscopic varices ligation in comparison with Hassab procedure in the treatment of portal hypertension. A prospective, controlled study was carried out on Splenectomy with EVL in comparision with portoazygous disconnection--the Hassab procedure to assess whether SEVL can achieve better results in the treatment of portal hypertension. Methods From Jan 1999 to June 2002, 103 cirrhotic patients with portal hypertension were admitted. These patients were randomized into two groups. Group A were treated by splenectomy combined with EVL(53 cases) , and group B were treated with Hassab procedure(50 cases). Results In both groups, there was a significant postoperative decrease in free portal pressure, the velocity and volume of portal flow (all P0.01) , but the difference of individual parameters between the two groups was not significant (P0.05). Portal vein thrombosis developed in 7 cases (13%) in group A, and in 14 cases (28%) in group B, P0. 05. Postoperative complications developed in 17 cases (32%) in group A and in 30 cases (61%) in group B, P0.01. There was no mortality postoperatively. Postoperative variceal recurrence was 10. 2% for group A and 12% for group B. Rebleeding was noted in 3 cases (7%) of group A and 2 cases (5%) of group B. Portal hypertensive gastropathy remained unchanged in group A and exacerbated in group B (P0.05) . Conclusion Splenectomy with EVL is an effective procedure for control of variceal bleeding in portal hypertension, compared with Hassab procedure, causing less injury and less impediment on splanchnic hemodynamics and physiology." @default.
- W2372146905 created "2016-06-24" @default.
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- W2372146905 date "2006-01-01" @default.
- W2372146905 modified "2023-09-28" @default.
- W2372146905 title "A combination splenectomy and endoscopic varices ligation in comparison with Hassab procedure in the treatment of portal hypertension" @default.
- W2372146905 hasPublicationYear "2006" @default.
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