Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202009000400006 |
Resumo: | BACKGROUND: Schistosomiasis is an important public health issue in more than 70 countries around the world. About 600 million people are at risk to acquire the parasite and there are 200 million infected worldwide. AIM: To evaluate the characteristics of schistosomal portal hypertension individuals who underwent previous esophageal varices bleeding treated in a tertiary hospital. METHODS: The records of 155 patients were evaluated and clinical, laboratorial, endoscopic, epidemiological features and hemorrhagic event severity were analyzed to individualize this population. RESULTS: Mean age was 37.2 years and no clinical signs of hepatic failure were observed. Serum laboratory tests to evaluate liver function were normal or slightly alter. Anemia was present in 70 %, leucopenia in 75 % and thrombocytopenia in 86 % of the patients. At endoscopic evaluation varices were classified as grade III and IV in 91.3 %; red spots were observed in 40.3 % and congestive gastropathy in 13.6 %. Patients presented a mean of 2.8 previous episodes of variceal hemorrhage and, in 75 % with hemodynamic instability. CONCLUSIONS: Patients with schistosomal portal hypertension and history of upper digestive bleeding from esophageal varices are young individuals, without either clinical or laboratorial evidence of liver dysfunction, that present high morbidity due to the severity of the acute event of bleeding. |
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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
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Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospitalSchistosoma mansoniPortal hypertensionEsophageal varicesUpper gastrointestinal bleedingBACKGROUND: Schistosomiasis is an important public health issue in more than 70 countries around the world. About 600 million people are at risk to acquire the parasite and there are 200 million infected worldwide. AIM: To evaluate the characteristics of schistosomal portal hypertension individuals who underwent previous esophageal varices bleeding treated in a tertiary hospital. METHODS: The records of 155 patients were evaluated and clinical, laboratorial, endoscopic, epidemiological features and hemorrhagic event severity were analyzed to individualize this population. RESULTS: Mean age was 37.2 years and no clinical signs of hepatic failure were observed. Serum laboratory tests to evaluate liver function were normal or slightly alter. Anemia was present in 70 %, leucopenia in 75 % and thrombocytopenia in 86 % of the patients. At endoscopic evaluation varices were classified as grade III and IV in 91.3 %; red spots were observed in 40.3 % and congestive gastropathy in 13.6 %. Patients presented a mean of 2.8 previous episodes of variceal hemorrhage and, in 75 % with hemodynamic instability. CONCLUSIONS: Patients with schistosomal portal hypertension and history of upper digestive bleeding from esophageal varices are young individuals, without either clinical or laboratorial evidence of liver dysfunction, that present high morbidity due to the severity of the acute event of bleeding.Colégio Brasileiro de Cirurgia Digestiva2009-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202009000400006ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.22 n.4 2009reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD)instacron:CBCD10.1590/S0102-67202009000400006info:eu-repo/semantics/openAccessMakdissi,Fábio FerrariHerman,PauloColaneri,Renata PotonyaczNunes,Barbara dos SantosPugliese,VincenzoCleva,Roberto deSaad,William A.D`Albuquerque,Luiz Augusto CarneiroCecconello,Ivaneng2010-05-20T00:00:00Zoai:scielo:S0102-67202009000400006Revistahttp://abarriguda.org.br/revista/index.php/revistaabarrigudaarepb/indexONGhttps://old.scielo.br/oai/scielo-oai.php||revistaabcd@gmail.com2317-63262317-6326opendoar:2010-05-20T00:00ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD)false |
dc.title.none.fl_str_mv |
Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital |
title |
Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital |
spellingShingle |
Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital Makdissi,Fábio Ferrari Schistosoma mansoni Portal hypertension Esophageal varices Upper gastrointestinal bleeding |
title_short |
Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital |
title_full |
Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital |
title_fullStr |
Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital |
title_full_unstemmed |
Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital |
title_sort |
Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital |
author |
Makdissi,Fábio Ferrari |
author_facet |
Makdissi,Fábio Ferrari Herman,Paulo Colaneri,Renata Potonyacz Nunes,Barbara dos Santos Pugliese,Vincenzo Cleva,Roberto de Saad,William A. D`Albuquerque,Luiz Augusto Carneiro Cecconello,Ivan |
author_role |
author |
author2 |
Herman,Paulo Colaneri,Renata Potonyacz Nunes,Barbara dos Santos Pugliese,Vincenzo Cleva,Roberto de Saad,William A. D`Albuquerque,Luiz Augusto Carneiro Cecconello,Ivan |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Makdissi,Fábio Ferrari Herman,Paulo Colaneri,Renata Potonyacz Nunes,Barbara dos Santos Pugliese,Vincenzo Cleva,Roberto de Saad,William A. D`Albuquerque,Luiz Augusto Carneiro Cecconello,Ivan |
dc.subject.por.fl_str_mv |
Schistosoma mansoni Portal hypertension Esophageal varices Upper gastrointestinal bleeding |
topic |
Schistosoma mansoni Portal hypertension Esophageal varices Upper gastrointestinal bleeding |
description |
BACKGROUND: Schistosomiasis is an important public health issue in more than 70 countries around the world. About 600 million people are at risk to acquire the parasite and there are 200 million infected worldwide. AIM: To evaluate the characteristics of schistosomal portal hypertension individuals who underwent previous esophageal varices bleeding treated in a tertiary hospital. METHODS: The records of 155 patients were evaluated and clinical, laboratorial, endoscopic, epidemiological features and hemorrhagic event severity were analyzed to individualize this population. RESULTS: Mean age was 37.2 years and no clinical signs of hepatic failure were observed. Serum laboratory tests to evaluate liver function were normal or slightly alter. Anemia was present in 70 %, leucopenia in 75 % and thrombocytopenia in 86 % of the patients. At endoscopic evaluation varices were classified as grade III and IV in 91.3 %; red spots were observed in 40.3 % and congestive gastropathy in 13.6 %. Patients presented a mean of 2.8 previous episodes of variceal hemorrhage and, in 75 % with hemodynamic instability. CONCLUSIONS: Patients with schistosomal portal hypertension and history of upper digestive bleeding from esophageal varices are young individuals, without either clinical or laboratorial evidence of liver dysfunction, that present high morbidity due to the severity of the acute event of bleeding. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202009000400006 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202009000400006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-67202009000400006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
dc.source.none.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.22 n.4 2009 reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD |
instname_str |
Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
instacron_str |
CBCD |
institution |
CBCD |
reponame_str |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
collection |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
repository.name.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
repository.mail.fl_str_mv |
||revistaabcd@gmail.com |
_version_ |
1754208955591032832 |