DC Field | Value | Language |
dc.contributor.author | Cazacov, Vladimir | |
dc.contributor.author | Darii, Eugeniu | |
dc.contributor.author | Nacu, Natalia | |
dc.contributor.author | Vangheli, Ludmila | |
dc.contributor.author | Negarî, Nadejda | |
dc.date.accessioned | 2020-11-10T10:53:16Z | |
dc.date.available | 2020-11-10T10:53:16Z | |
dc.date.issued | 2020-10 | |
dc.identifier.uri | https://stiinta.usmf.md/ro/manifestari-stiintifice/zilele-universitatii | |
dc.identifier.uri | http://repository.usmf.md/handle/20.500.12710/12809 | |
dc.description | Department 2 of Surgery, State University of Medicine and Pharmacy "Nicolae Testemiteanu"
Chișinău, Republic of Moldova, Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltare | en_US |
dc.description.abstract | Introduction. Surgical management of patients with portal
hypertension (PHT) should take into account the associated
thromboembolic risk.
Purpose. Analysis of the incidence and management
of thromboembolic complications.
Material and methods. The retrospectively analyzed case study refers
to 336 cirrhotic patients (Child A/B/C = 21/298/47) operated for
PHT, severe hypersplenism: azygo-portal devascularization (340
cases), selective shunt operations (9 cases) and splenectomy with
gastric disconnection (17 cases).
Results In this group of patients we registered 22 patients with
portal vein thrombosis (PVT): 14 cases located in the trunk, 5
extended in the oval and 3 upstream. The clinical presentation had 3
types: asymptomatic, slow onset, insidious and active onset
associated with ascites (8), gastrointestinal bleeding (3) and
pulmonary thromboembolism (1 case). We identified a significant
positive correlation of PVT with the Child C score, splenomegaly >
20cm and portal flow < 15cm / s. Patients adhered to anticoagulant /
antiplatelet therapy, with individual regimen and duration of
administration. We recorded: PVT recanalization (19), portal
cavernoma (4); retrombosis (5 cases).
Conclusions. Our observations note a different clinical, evolutionary,
and prognostic diversity of PVT that argues for the treatment and
monitoring of operated patients. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Universitatea de Stat de Medicină şi Farmacie "Nicolae Testemiţanu" | en_US |
dc.subject | portal hypertension | en_US |
dc.subject | thromboembolic complications | en_US |
dc.title | Thromboembolic complications after portal hypertension surgery | en_US |
dc.type | Other | en_US |
Appears in Collections: | Culegere de postere
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