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Medical Journal of Islamic Republic of Iran، جلد ۱، شماره ۱، صفحات ۵۰-۵۴
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عنوان انگلیسی SURGICAL EXPERIENCE WITH PORTAL HYPERTENSION DUE TO HEPATOPORTAL SCLEROSIS (NONCIRRHOTIC PORTAL FIBROSIS)
چکیده انگلیسی مقاله Hepatoportal sclerosis or idiopathic portal hypertension has a worldwide distribution with prevalence in developing and temperate countries. Of 64 patients with this disease seen during a twelve year period, 36 underwent splenectomy or a shunt procedure. The indications for surgical intervention were severe hypersplenism and persistent left upper abdominal pain andlorhistory of frequent episodes of esophageal bleeding. There were two operative deaths from uncontrollable bleeding. Of 34 patients, none developed esophageal bleeding or encephalopathy on follow-ups ranging from one to 12 years. Splenectomy in patients without bleeding was effective. Proximal splenorenal shunt was also satisfactory in all cases. However, in the last few cases, Warren's shunt has produced even more encouraging results. In addition to a general overview, features of this disease not previously discussed or emphasized in the literature, operative findings and surgical methods used, along with long-term results, are presented.
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نویسندگان مقاله سیروس وکیلی | sirus vakili
from the department of surgery and medicine, tehran university of medical sciences, tehran, islamic republic of iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمدجعفر فره وش | mohammadjafar farahvash


نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-542&slc_lang=en&sid=en
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کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Surgery
نوع مقاله منتشر شده Original Research
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