Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1993-2-19
pubmed:abstractText
Splenectomy has been considered the treatment of choice for patients with bleeding from sinistral portal hypertension (SPH) and varices, but is controversial for asymptomatic patients. To further define the role of splenectomy for SPH, the authors compared the clinical presentations and outcomes of 25 patients treated with splenectomy with those of 12 observed patients. Clinical features were similar except for transfusions administered (60% vs. 25%, p < 0.05), hemoglobin (9.8 +/- 2.2 g/dL vs. 12.5 +/- 2.1 g/dL, p < 0.05), and history of prior bleeding episodes (56% vs. 8%, p < 0.05), splenectomy versus no splenectomy, respectively. At 3 years, neither survival (78% vs. 64%, p = 1.0) nor new or recurrent bleeding (16% vs. 24%, p = 0.2) differed, splenectomy versus no splenectomy, respectively. The authors conclude that in the absence of prior bleeding episodes, anemia, or severe hemorrhage, observation of patients with SPH is justified.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-13684348, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-2268102, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-2297961, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-2695449, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-3500243, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-3707347, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-4013353, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-4541094, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-5306330, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-5462028, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-5689513, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-5750666, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-6970001, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-6979376, http://linkedlifedata.com/resource/pubmed/commentcorrection/8424698-858095
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0003-4932
pubmed:author
pubmed:issnType
Print
pubmed:volume
217
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
35-40
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Sinistral portal hypertension. Splenectomy or expectant management.
pubmed:affiliation
Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.
pubmed:publicationType
Journal Article