Evaluation of patients with schistosomal portal hypertension treated in a tertiary hospital

Detalhes bibliográficos
Autor(a) principal: Makdissi,Fábio Ferrari
Data de Publicação: 2009
Outros Autores: Herman,Paulo, Colaneri,Renata Potonyacz, Nunes,Barbara dos Santos, Pugliese,Vincenzo, Cleva,Roberto de, Saad,William A., D`Albuquerque,Luiz Augusto Carneiro, Cecconello,Ivan
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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spelling 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
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dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/S0102-67202009000400006
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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)
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instname_str Colégio Brasileiro de Cirurgia Digestiva (CBCD)
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reponame_str ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
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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
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