Fathal pulmonary hypertension after distal splenorenal shunt in schistosomal portal hypertension

• 作 者: Roberto de Cleva Paulo Herman Vincenzo Pugliese Bruno Zilberstein William Abro Saad Joaquim JoséGama-Rodrigues
• 机 构: Gastroenterology Department Hospital Das Clinicas-University of Sao Paulo Medical School,Digestive T
• 出 处: World Journal of Gastroenterology
• 发表日期: 2004年12期
• 关键词: shunt distal esophageal bleeding prevalence Brazil triggering dilatation mortali

INTRODUCTIONMansonic schistosomiasis is the main cause of portalhypertension in Brazil.Hepatosplenic (HS) form is manifestedby hepatomegaly mainly on the left hepatic lobe associatedwith large splenomegaly and bleeding due to esophagealvarices with high mortality rates.Pulmonary hypertension in the HS form of mansonicschistosomiasis is described in association with both the acuteand chronic forms of the disease,with a prevalence of 5% andmay be a serious complication in the evolution of the disease.It can also be the triggering factor for serious complicationsassociated with any form of surgical approach.Surgical treatment is indicated for patients with a history ofbleeding due to esophageal varix rapture based on world previous

INTRODUCTION Mansonic schistosomiasis is the main cause of portal hypertype in Brazil. Hepatosplenic (HS) form is manifested by hepatomegaly mainly on the left hepatic lobe associated with large splenomegaly and bleeding due to esophageal varices with high mortality rates. Pulmonary hypertension in the HS form of mansonics liver disease is described in association with both the acute and chronic forms of the disease, with a prevalence of 5% andmay be a serious complication in the evolution of the disease. It can also be the triggering factor for serious complicationsassociated with any form of surgical approach. Surgical treatment is indicated for patients with a history of bleeding due to esophageal varix rapture based on world previous