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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5 PT.1
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pubmed:dateCreated |
1976-7-6
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pubmed:abstractText |
Fifteen (2.2%) of 693 patients with cystic fibrosis seen over an 18-year period developed clinical hepatic disease. In 13 patients all symptoms were secondary to portal hypertension. Ten had hypersplenism and 6 had variceal bleeding, including 3 who developed both conditions. All 5 patients who survived the initial episode of gastrointestinal bleeding underwent portal systemic shunting. A shunting procedure also was performed on 1 patients with hypersplenism but no variceal bleeding. No subsequent deterioration of intellectual function occurred in either the shunted or unshunted patients. Only 1 of the shunted patients showed progression of hepatic disease after surgery. These results suggest that portal systemic shunting is useful in the treatment of bleeding esophageal varices in cystic fibrosis. A sweat test to rule out cystic fibrosis should be included in the evaluation of any teenage or young adult patient with unexplained portal hypertension.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0016-5085
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
70
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
645-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1083350-Adolescent,
pubmed-meshheading:1083350-Child,
pubmed-meshheading:1083350-Child, Preschool,
pubmed-meshheading:1083350-Cystic Fibrosis,
pubmed-meshheading:1083350-Esophageal and Gastric Varices,
pubmed-meshheading:1083350-Female,
pubmed-meshheading:1083350-Gastrointestinal Hemorrhage,
pubmed-meshheading:1083350-Humans,
pubmed-meshheading:1083350-Hypersplenism,
pubmed-meshheading:1083350-Hypertension, Portal,
pubmed-meshheading:1083350-Infant,
pubmed-meshheading:1083350-Liver Diseases,
pubmed-meshheading:1083350-Male,
pubmed-meshheading:1083350-Ohio,
pubmed-meshheading:1083350-Portacaval Shunt, Surgical
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pubmed:year |
1976
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pubmed:articleTitle |
Symptomatic hepatic disease in cystic fibrosis: incidence, course, and outcome of portal systemic hunting.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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