Tratamento da recidiva hemorrágica por varizes do esôfago em doentes esquistossomóticos operados

Doppler Ultrasound Could Predict Varices Progression and Rebleeding After Portal Hypertension Surgery: Lessons from 146 EGDS and 10 Years of Follow‐Up

“…In our study, all patients have recanalized portal veins, including the 13% that showed no blood flow velocity on Doppler US. After a period of 18 months, the new Doppler measurements revealed recovery of blood flow velocity, with or without formation of portal cavernoma, akin to the majority of series published to date [4–7, 55, 56, 58–61].…”

“…It also has a low morbidity rate, does not cause postoperative encephalopathy, and improves patient cellular immunity. Arguments against using the procedure include higher rates of hemorrhagic recurrence and portal vein thromboses [1–8].…”

“…Hemorrhagic recurrence after EGDS is largely benign provided that liver function is preserved and can be controlled by endoscopic procedures, surgical treatment, or endovascular embolization of varices nutrient veins [7, 9].…”