Copyright
©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 28, 2014; 20(44): 16734-16738
Published online Nov 28, 2014. doi: 10.3748/wjg.v20.i44.16734
Published online Nov 28, 2014. doi: 10.3748/wjg.v20.i44.16734
Splenic artery ligature associated with endoscopic banding for schistosomal portal hypertension
Renata Potonyacz Colaneri, Fabrício Ferreira Coelho, Roberto de Cleva, Marcos Vinícius Perini, Paulo Herman, Department of Gastroenterology, University of São Paulo Medical School, São Paulo, SP CEP 05403-000, Brazil
Author contributions: Colaneri RP collected data from surgical procedures and follow-up and wrote the manuscript; Coelho FF, Perini MV and Herman P performed the surgical procedures and the patient evaluations on follow-up and reviewed the manuscript; De Cleva R and Herman P designed the study and edited the manuscript.
Correspondence to: Dr. Renata Potonyacz Colaneri, Department of Gastroenterology, University of São Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, No. 255, Cerqueira César, São Paulo SP CEP 05403-000, Brazil. pcol_renata@yahoo.com.br
Telephone: +55-11-981266852 Fax: +55-11-26617560
Received: March 25, 2014
Revised: June 14, 2014
Accepted: July 15, 2014
Published online: November 28, 2014
Revised: June 14, 2014
Accepted: July 15, 2014
Published online: November 28, 2014
Core Tip
Core tip: In a recent study from our group assessing systemic and portal hemodynamic changes in schistosomal patients undergoing esophagogastric devascularization and splenectomy, we showed that the splenic artery ligature alone promotes correction of the systemic hyper-dynamic state and significantly decreases portal pressure. The objective of the present study was to propose a less invasive surgical treatment for portal hypertension in schistosomiasis, which consists of splenic artery ligature, followed by endoscopic variceal treatment. This study showed that this new technique is a promising method in the treatment of presinusoidal portal hypertension due to its less invasive characteristic.