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. 2010 Jun 14;16(22):2801-5.
doi: 10.3748/wjg.v16.i22.2801.

Post-gastrectomy spleen enlargement and esophageal varices: distal vs total gastrectomy

Takatsugu Oida  1 , Kenji Mimatsu, Hisao Kano, Atsushi Kawasaki, Youichi Kuboi, Nobutada Fukino, Sadao Amano
Affiliations

Post-gastrectomy spleen enlargement and esophageal varices: distal vs total gastrectomy

Takatsugu Oida et al. World J Gastroenterol. .

Abstract

Aim: To study the relationship between platelet count-to-spleen diameter ratio and post-gastrectomy esophageal varices (EVs) development in patients without liver cirrhosis or hepatitis.

Methods: We retrospectively studied 92 patients who underwent gastrectomy. They were divided into 2 groups on the basis of the surgical treatment: the distal gastrectomy (DG) group and total gastrectomy (TG) group. The incidence of EVs was determined and postoperative platelet counts, spleen diameters, and platelet count-to-spleen diameter ratios were compared between the 2 groups.

Results: EVs were not detected during the first 6 mo after surgery in either group; however, at 12 mo after surgery, EVs were detected in 2 patients (3%) in the DG group and in 1 patient (3.6%) in the TG group; their mean platelet count-to-spleen diameter ratio was 2628 +/- 409, and 2604 +/- 360, respectively.

Conclusion: Endoscopy should be performed to detect EVs when the platelet count-to-spleen diameter ratio is < 2600.

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References

    1. de Franchis R, Primignani M. Natural history of portal hypertension in patients with cirrhosis. Clin Liver Dis. 2001;5:645–663. - PubMed
    1. Schepis F, Cammà C, Niceforo D, Magnano A, Pallio S, Cinquegrani M, D'amico G, Pasta L, Craxì A, Saitta A, et al. Which patients with cirrhosis should undergo endoscopic screening for esophageal varices detection? Hepatology. 2001;33:333–338. - PubMed
    1. D'Amico G, Luca A. Natural history. Clinical-haemodynamic correlations. Prediction of the risk of bleeding. Baillieres Clin Gastroenterol. 1997;11:243–256. - PubMed
    1. Garceau AJ, Chalmers TC. The natural history of cirrhosis. I. Survival with esophageal varices. N Engl J Med. 1963;268:469–473. - PubMed
    1. Graham DY, Smith JL. The course of patients after variceal hemorrhage. Gastroenterology. 1981;80:800–809. - PubMed