| Autor: |
A Moustafa, M Tag El-Din, A Taha, A El-Mikkawy, Tarek Elsayed Abouelregal, Amr M. Ismaeel Saadawy, Ahmed Abdallah Salman, Mohamed Abdallah Salman, Ahmed F.A. Youssef, Mohamed Tourky |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Acta gastro-enterologica Belgica. 84(4) |
| ISSN: |
1784-3227 |
| Popis: |
Background and study aims: To evaluate the impact of intra- operatively measured portal vein pressure (PVP) on mortality in non-cirrhotic bilharzial patients undergoing splenectomy. Methods: The present study is a prospective study that was conducted in Egypt from April 2014 to April 2018. Adult patients with non-cirrhotic bilharziasis who were scheduled to undergo splenectomy were included. Studied cases were divided into a survival cohort and a non-survival cohort. The main objective was the correlation between the incidence of mortality and intraoperative PVP. Results: The present work comprised 130 cases with a mean age of 51.8 ± 6.4 years old. The in-hospital mortality rate was 22.3%, with sepsis as a major cause of death (37.9%). In term of the association between preoperative variables and mortality, survivors had statistically significant lower portal vein diameter (13.6 ± 1.8 versus 15.2 ± 1.8mm; p 14.5mmHg was an independent predictor of death and showed good diagnostic performance for the detection of early postoperative mortality. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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