Hypersplenism in Liver Cirrhosis: Is Conservative Treatment Still Best?
نویسندگان
چکیده
منابع مشابه
Hemostasis, bleeding and thrombosis in liver disease
The presence of cirrhosis poses an increased risk of both thrombosis and bleeding in individuals with chronic liver disease. This duality is a result ofa dynamic disequilibrium between procoagulant and anticoagulant states in individuals with cirrhosis.The mechanismof this imbalance in cirrhosis remains unclear. It is known that the progression of cirrhosis leads to decreased synthetic function...
متن کاملRole of partial splenic arterial embolization for hypersplenism in patients with liver cirrhosis and thrombocytopenia.
BACKGROUND Hypersplenism is traditionally treated by surgical splenectomy. Transcatheter ablation of splenic parenchyma is an alternative treatment modality. METHODS We evaluated the efficacy and safety of partial splenic arterial embolization in 10 patients with chronic liver disease and hypersplenism with thrombocytopenia (platelet count <80,000/microL). RESULTS At six months follow up, m...
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The aim was to prospectively evaluate the efficacy and safety of splenic microwave ablation (MWA) combined with transcatheter hepatic arterial chemoembolization (TACE) in treatment of hepatocellular carcinoma (HCC) associated with hypersplenism. Five patients suffering from primary HCC associated with hypersplenism caused by cirrhosis were received MWA combined with TACE. Follow-up examinations...
متن کاملPartial splenic embolization for hypersplenism in cirrhotic patients. A case series.
The prognosis of liver cirrhosis depends on the presence of its major complications as well as on other factors such as hypersplenism with thrombocytopenia. Partial splenic embolization is an effective interventional procedure performed in liver cirrhosis complicated with portal hypertension to improve the low platelet count. This technique represents an efficient alternative to splenectomy, wh...
متن کاملSpontaneous bacterial peritonitis in cystic fibrosis.
Bacterial peritonitis presents with classic symptoms of fever and abdominal pain. Some patients, however, are completely asymptomatic. Death in the short term is considerable, especially in patients with alcoholic cirrhosis. Cystic fibrosis patients occasionally develop biliary cirrhosis and may have secondary hypersplenism, varices, and ascites. These patients should be at risk for spontaneous...
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عنوان ژورنال:
- HPB Surgery
دوره 9 شماره
صفحات -
تاریخ انتشار 1995