Failure of Splenectomy to Ameliorate Portal Hypertension in Myeloproliferative Disorders

The correct treatment of portal hypertension associated with myeloproliferative disorders remains uncertain. Splenectomy has been advocated by some to eliminate the forward flow component of the portal hypertension and thus reduce portal pressure. The authors describe three recent cases of myeloprol...

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Main Authors: Samuel S Lee, Guido Van Rosendaal, Thomas E Lay, James K Kelly, Graham F Pineo
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1994/632862
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author Samuel S Lee
Guido Van Rosendaal
Thomas E Lay
James K Kelly
Graham F Pineo
author_facet Samuel S Lee
Guido Van Rosendaal
Thomas E Lay
James K Kelly
Graham F Pineo
author_sort Samuel S Lee
collection DOAJ
description The correct treatment of portal hypertension associated with myeloproliferative disorders remains uncertain. Splenectomy has been advocated by some to eliminate the forward flow component of the portal hypertension and thus reduce portal pressure. The authors describe three recent cases of myeloproliferative disorder in whom splenectomy failed to achieve any significant amelioration of portal hypertension, with in-depth hemodynamic studies in one patient. Based on these experiences, the authors suggest that splenectomy is not the optimum treatment of the portal hypertension associated with myeloproliferative disorders.
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publishDate 1994-01-01
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series Canadian Journal of Gastroenterology
spelling doaj-art-ec0a922e44a349459e81723baecbab742025-08-20T02:21:47ZengWileyCanadian Journal of Gastroenterology0835-79001994-01-01829710010.1155/1994/632862Failure of Splenectomy to Ameliorate Portal Hypertension in Myeloproliferative DisordersSamuel S Lee0Guido Van Rosendaal1Thomas E Lay2James K Kelly3Graham F Pineo4Departments of Medicine and Pathology, University of Calgary, Calgary, Alberta, CanadaDepartments of Medicine and Pathology, University of Calgary, Calgary, Alberta, CanadaDepartments of Medicine and Pathology, University of Calgary, Calgary, Alberta, CanadaDepartments of Medicine and Pathology, University of Calgary, Calgary, Alberta, CanadaDepartments of Medicine and Pathology, University of Calgary, Calgary, Alberta, CanadaThe correct treatment of portal hypertension associated with myeloproliferative disorders remains uncertain. Splenectomy has been advocated by some to eliminate the forward flow component of the portal hypertension and thus reduce portal pressure. The authors describe three recent cases of myeloproliferative disorder in whom splenectomy failed to achieve any significant amelioration of portal hypertension, with in-depth hemodynamic studies in one patient. Based on these experiences, the authors suggest that splenectomy is not the optimum treatment of the portal hypertension associated with myeloproliferative disorders.http://dx.doi.org/10.1155/1994/632862
spellingShingle Samuel S Lee
Guido Van Rosendaal
Thomas E Lay
James K Kelly
Graham F Pineo
Failure of Splenectomy to Ameliorate Portal Hypertension in Myeloproliferative Disorders
Canadian Journal of Gastroenterology
title Failure of Splenectomy to Ameliorate Portal Hypertension in Myeloproliferative Disorders
title_full Failure of Splenectomy to Ameliorate Portal Hypertension in Myeloproliferative Disorders
title_fullStr Failure of Splenectomy to Ameliorate Portal Hypertension in Myeloproliferative Disorders
title_full_unstemmed Failure of Splenectomy to Ameliorate Portal Hypertension in Myeloproliferative Disorders
title_short Failure of Splenectomy to Ameliorate Portal Hypertension in Myeloproliferative Disorders
title_sort failure of splenectomy to ameliorate portal hypertension in myeloproliferative disorders
url http://dx.doi.org/10.1155/1994/632862
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