UNIGE document Scientific Article
previous document  unige:74241  next document
add to browser collection
Title

Thrombose veineuse splénique et pancréatite chronique: attitude thérapeutique

Authors
Published in Schweizerische medizinische Wochenschrift. 1998, vol. 128, no. 22, p. 867-70
Abstract 10% of chronic pancreatitis (CP) cases are complicated by splenic vein thrombosis (SVT) which is responsible for upper digestive haemorrhages. To improve our approach to treatment we reviewed 30 cases of SVT associated with CP treated in our centre from 1985 to 1995. 14 patients were treated conservatively. Six of them were refused for surgery due to extension of splenic vein thrombosis into the portal vein. Two patients without extrinsic compression of the vein were treated with anticoagulants. 16 patients were treated by surgery with low morbidity and without mortality. The standard treatment in fourteen cases was splenopancreatectomy. The average follow-up of seven years shows that these patients have preserved their body mass index (BMI). The results suggest that early surgical intervention is beneficial in preventing progression of SVT to the portomesenteric vein.
Keywords AdultAgedAnticoagulants/administration & dosageChronic DiseaseFemaleGastrointestinal Hemorrhage/etiology/mortality/surgeryHumansMaleMiddle AgedPancreatectomyPancreatitis/complications/mortality/surgeryPostoperative Complications/mortalityRetrospective StudiesSplenectomySplenic VeinSurvival RateThrombosis/complications/mortality/surgery
Identifiers
PMID: 9653823
Full text
Article (Published version) (2.3 MB) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research groups Chirurgie viscérale (104)
Imagerie et radiologie interventionnelle du foie, des voies biliaires et du pancréas (316)
Citation
(ISO format)
MARIETHOZ, Sophie et al. Thrombose veineuse splénique et pancréatite chronique: attitude thérapeutique. In: Schweizerische medizinische Wochenschrift, 1998, vol. 128, n° 22, p. 867-70. https://archive-ouverte.unige.ch/unige:74241

77 hits

0 download

Update

Deposited on : 2015-07-22

Export document
Format :
Citation style :