Effect of laparoscopic splenectomy on portal hypertensive gastropathy in cirrhotic patients with portal hypertension

Go Anegawa, Hirofumi Kawanaka, Hideo Uehara, Tomohiko Akahoshi, Kozo Konishi, Daisuke Yoshida, Nao Kinjo, Naotaka Hashimoto, Morimasa Tomikawa, Makoto Hashizume, Yoshihiko Maehara

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Aim: This study investigated the relationship between portal hypertensive gastropathy (PHG) and splenomegaly, and the effect of laparoscopic splenectomy on PHG in cirrhotic patients with portal hypertension. Methods: Seventy patients with liver cirrhosis and portal hypertension were prospectively studied. Indication for laparoscopic splenectomy was bleeding tendency in 10 patients, induction of interferon in 45, treatment of hepatocellular carcinoma in seven, and treatment for endoscopic injection sclerotherapy-resistant esophagogastric varices in eight. The severity of PHG was classified into none, mild, or severe according to the classification by McCormack et al. The severity of liver disease was classified using the Child-Pugh score. All patients underwent upper gastrointestinal endoscopy before and 1 month after the operation. Results: The prevalence of PHG was significantly correlated with the severity of liver disease using the Child-Pugh score. The severity of PHG was significantly correlated with the resected spleen volume. One month after the operation, PHG was improved in 16 of 17 patients with severe PHG and in 12 of 32 with mild PHG. The Child-Pugh score showed a significant improvement (6.8 ± 1.4 to 6.2 ± 1.2) at 3 months after laparoscopic splenectomy (P < 0.0001). Conclusions: PHG may be associated with splenomegaly, and laparoscopic splenectomy may have a beneficial effect on PHG, at least for a short time.

Original languageEnglish
Pages (from-to)1554-1558
Number of pages5
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume24
Issue number9
DOIs
Publication statusPublished - Sep 2009

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Portal Hypertension
Splenectomy
Splenomegaly
Liver Diseases
Sclerotherapy
Gastrointestinal Endoscopy
Varicose Veins
Liver Cirrhosis
Interferons
Hepatocellular Carcinoma
Spleen
Hemorrhage
Injections
Therapeutics

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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Effect of laparoscopic splenectomy on portal hypertensive gastropathy in cirrhotic patients with portal hypertension. / Anegawa, Go; Kawanaka, Hirofumi; Uehara, Hideo; Akahoshi, Tomohiko; Konishi, Kozo; Yoshida, Daisuke; Kinjo, Nao; Hashimoto, Naotaka; Tomikawa, Morimasa; Hashizume, Makoto; Maehara, Yoshihiko.

In: Journal of Gastroenterology and Hepatology (Australia), Vol. 24, No. 9, 09.2009, p. 1554-1558.

Research output: Contribution to journalArticle

Anegawa, G, Kawanaka, H, Uehara, H, Akahoshi, T, Konishi, K, Yoshida, D, Kinjo, N, Hashimoto, N, Tomikawa, M, Hashizume, M & Maehara, Y 2009, 'Effect of laparoscopic splenectomy on portal hypertensive gastropathy in cirrhotic patients with portal hypertension', Journal of Gastroenterology and Hepatology (Australia), vol. 24, no. 9, pp. 1554-1558. https://doi.org/10.1111/j.1440-1746.2009.05906.x
Anegawa, Go ; Kawanaka, Hirofumi ; Uehara, Hideo ; Akahoshi, Tomohiko ; Konishi, Kozo ; Yoshida, Daisuke ; Kinjo, Nao ; Hashimoto, Naotaka ; Tomikawa, Morimasa ; Hashizume, Makoto ; Maehara, Yoshihiko. / Effect of laparoscopic splenectomy on portal hypertensive gastropathy in cirrhotic patients with portal hypertension. In: Journal of Gastroenterology and Hepatology (Australia). 2009 ; Vol. 24, No. 9. pp. 1554-1558.
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AU - Yoshida, Daisuke

AU - Kinjo, Nao

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AU - Hashizume, Makoto

AU - Maehara, Yoshihiko

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