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Role of splenectomy in the treatment of non-cirrhotic portal hypertension: about 3 cases.

Abstract Non-cirrhotic portal hypertension was first described by Guido BANTI in 1898 as a condition characterized by the association of portal hypertension with splenomegaly, anemia and healthy liver. The diagnosis was based on abdominal ultrasound, splenoportography and liver biopsy. Our study aimed to evaluate the role of splenectomy in non-cirrhotic portal hypertension. We conducted a retrospective study of 3 patients (2 women and 1 man) treated by our staff over the period January 2010 -September 2016. The diagnosis of idiopathic portal hypertension was based on the following criteria: portal hypertension, the presence of oesophageal varices associated with splenomegaly, the absence of cirrhosis or of other liver disorders responsible of portal hypertension. All patients underwent splenectomy. Outcome after splenectomy was marked by the standardization of clinical, radiological and biological signs of this disease associated with the absence of oesophageal varices recurrence. Splenectomy associated with ligation of oesophageal varices may be sufficient to treat this syndrome and especially its consequences without using splenorenal bypass.
PMID
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Authors

Mayor MeshTerms
Keywords

Portal hypertension

hypersplenism

oesophageal varices

splenectomy

Journal Title the pan african medical journal
Publication Year Start




PMID- 29255554
OWN - NLM
STAT- MEDLINE
DCOM- 20171222
LR  - 20171222
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - [Role of splenectomy in the treatment of non-cirrhotic portal hypertension: about
      3 cases].
PG  - 84
LID - 10.11604/pamj.2017.28.84.11712 [doi]
AB  - Non-cirrhotic portal hypertension was first described by Guido BANTI in 1898 as a
      condition characterized by the association of portal hypertension with
      splenomegaly, anemia and healthy liver. The diagnosis was based on abdominal
      ultrasound, splenoportography and liver biopsy. Our study aimed to evaluate the
      role of splenectomy in non-cirrhotic portal hypertension. We conducted a
      retrospective study of 3 patients (2 women and 1 man) treated by our staff over
      the period January 2010 -September 2016. The diagnosis of idiopathic portal
      hypertension was based on the following criteria: portal hypertension, the
      presence of oesophageal varices associated with splenomegaly, the absence of
      cirrhosis or of other liver disorders responsible of portal hypertension. All
      patients underwent splenectomy. Outcome after splenectomy was marked by the
      standardization of clinical, radiological and biological signs of this disease
      associated with the absence of oesophageal varices recurrence. Splenectomy
      associated with ligation of oesophageal varices may be sufficient to treat this
      syndrome and especially its consequences without using splenorenal bypass.
FAU - Belhamidi, Mohamed Said
AU  - Belhamidi MS
AD  - Service de Chirurgie Viscerale I, Hopital Militaire d'Instruction Mohamed V,
      Universite de Souissi, Rabat, Maroc.
FAU - Hammi, Salah Eddine
AU  - Hammi SE
AD  - Service de Medecine Interne, Hopital Militaire d'Instruction Mohamed V,
      Universite de Souissi, Rabat, Maroc.
FAU - Bouzroud, Mohamed
AU  - Bouzroud M
AD  - Service de Chirurgie Viscerale I, Hopital Militaire d'Instruction Mohamed V,
      Universite de Souissi, Rabat, Maroc.
FAU - Benmoussa, Mustapha
AU  - Benmoussa M
AD  - Service de Chirurgie Viscerale I, Hopital Militaire d'Instruction Mohamed V,
      Universite de Souissi, Rabat, Maroc.
FAU - Ali, Abdelmounaim Ait
AU  - Ali AA
AD  - Service de Chirurgie Viscerale I, Hopital Militaire d'Instruction Mohamed V,
      Universite de Souissi, Rabat, Maroc.
FAU - Bounaim, Ahmed
AU  - Bounaim A
AD  - Service de Chirurgie Viscerale I, Hopital Militaire d'Instruction Mohamed V,
      Universite de Souissi, Rabat, Maroc.
LA  - fre
PT  - Case Reports
PT  - Journal Article
TT  - Place de la splenectomie dans la prise en charge de l'hypertension portale non
      cirrhotique: a propos de 3 cas.
DEP - 20170927
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
RN  - Banti's syndrome
SB  - IM
MH  - Adult
MH  - Esophageal and Gastric Varices/*etiology
MH  - Female
MH  - Humans
MH  - Hypertension, Portal/diagnosis/physiopathology/*surgery
MH  - Liver Cirrhosis/diagnosis/physiopathology/*surgery
MH  - Male
MH  - Pancytopenia/diagnosis/physiopathology/*surgery
MH  - Retrospective Studies
MH  - Splenectomy/*methods
MH  - Splenomegaly/diagnosis/physiopathology/*surgery
MH  - Treatment Outcome
MH  - Young Adult
PMC - PMC5724939
OTO - NOTNLM
OT  - Portal hypertension
OT  - hypersplenism
OT  - oesophageal varices
OT  - splenectomy
EDAT- 2017/12/20 06:00
MHDA- 2017/12/23 06:00
CRDT- 2017/12/20 06:00
PHST- 2017/02/03 00:00 [received]
PHST- 2017/06/12 00:00 [accepted]
PHST- 2017/12/20 06:00 [entrez]
PHST- 2017/12/20 06:00 [pubmed]
PHST- 2017/12/23 06:00 [medline]
AID - 10.11604/pamj.2017.28.84.11712 [doi]
AID - PAMJ-28-84 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Sep 27;28:84. doi: 10.11604/pamj.2017.28.84.11712.
      eCollection 2017.