The incidence of haematemesis secondary to oesophageal varices in schistosomiasis is more frequent than its incidence in Loennec's cirrhosis.1 In an endemic area an operation which could decompress the oesophageal varices, and also rid the patients of the hugely enlarged spleen and its complications, is desired.
Get full access to this article
View all access options for this article.
References
1.
Rodriguez HF , Garcia-Palmieri MR, Rivera JV and Rodriguez-Moling : A comparative study of portal and bilharzial cirrhosis. Gastroenterology29:235-246, 1955.
2.
El-Kasheet Mma: The anatomy of splenic vein in cases of schistosomal hepatic periportal fibrosis . Thesis Univ of Alex1984.
3.
Hamad AA: Anatomical study of the venous drainage of the stomach and its relationship to haematemesis. Thesis Univ of Alex1980.
4.
Burcharth T. , Sorensen TA and Andersen B.: Findings in percutaneous transhepatic portography and varicealbleeding in cirrhosis. Surg Gyn Obst150:887-890, 1980.
5.
Aboul-Enein A., Moustafa F., Massoud G., Helmy A and El-Shallab R: Observations on intrasplenic vasculature in schistosomiasis: Congestive and noncongestive splenomegaly. J Trop Med & Hyg75:67-72, 1972.
6.
El-Ghandour Smm: Anatomy of the left gastric vein in cases of schistosomal hepatic fibrosis . MS Thesis Univ of Alex1984 .
7.
Warren WD, Zeppa R. and Fomon JJ: Selective transplenic decompression of gastric varices by distal splenorenal shunt. Ann Surg166:432-455, 1967.
8.
Malt RA: Portosystemic shunts. N Engl J Med295:80-86, 1976.
9.
Hassab MA: Nonshunt operations in portal hypertension without cirrhosis. Surg131:648-654, 1970.
10.
Warren WD, Millikan WJ Jr, Henderson MJ, Wright L., Kutner M., Smith RB, Fulenwider JT, Salam AA, and Galambos JT: Ten years portal hypertensive surgery at EmoryAnn Surg195:530-542, 1982.
11.
Inokuchi K. , Kobayashi M., Ogawa Y., Saku M., Nagasue N., and Iwaki A.: Results of left gastric vena caval shunt for oesophageal varices: Analysis of one hundred clinical cases. Surg78:628-636, 1975.
12.
Kreel L.: Vascular radiology in liver diseases. Postgrad Med J46:19-31, 1970.
13.
Widrich WC, Robbins AH, Johson WC and Nabseth DC: Long term follow up of distal splenorenal shunts. Evaluation by arteriography shuntography, transhepatic portal venography and cine-fluorography. Radiology134:341-345, 1980.
14.
Aboul-Enein A. and Ismail A.: The influence of the spleen on thoracic duct lymph in shistosomal hepatic fibrosis. Lymphol5:132-136, 1972.