Journal ArticleDOI
Isolated Splenic Vein Occlusion: Review of Literature and Report of an Additional Case
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In 1894, Banti isolated his syndrome from this broad entity, and noted that the syndrome was frequently associated with hemorrhages from the mouth and bowel, an icteric skin hue, and a secondary anemia distinguished by leukopenia and relative lymphocytosis.Abstract:
In 1866, Gretsel described a syndrome consisting of primary splenomegaly, secondary anemia, and chronicity. Griessinger termed this splenic anemia. 1 In 1894, Banti isolated his syndrome from this broad entity. 1 Banti defined three clinical features: (1) a period lasting from three to five years and characterized by splenomegaly and anemia; (2) a short period characterized by hepatomegaly and oliguria; and (3) a final period lasting one to two years and characterized by ascites and a small liver. He also noted that the syndrome was frequently associated with hemorrhages from the mouth and bowel, an icteric skin hue (without true icterus), and a secondary anemia distinguished by leukopenia and relative lymphocytosis. Pathologically, Banti noted that this entity demonstrated (1) endophlebitis and calcification of the splenic vein; (2) splenic reticular fibrosis with narrowing of the splenic vein and capsular thickening; (3) presence of cirrhosis of the liver; and (4) finding ofread more
Citations
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Journal ArticleDOI
A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices.
TL;DR: The pathophysiology, diagnosis, natural history, endoscopic, and interventional radiologic treatment options for GV are described, including endoscopic variceal obturation and TIPS.
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"Salvage" Transjugular Intrahepatic Portosystemic Shunts: Gastric Fundal Compared With Esophageal Variceal Bleeding
TL;DR: Investigation of the efficacy of transjugular intrahepatic portosystemic stent/shunt (TIPS) in patients with uncon trolled gastric fundal vs. esophageal variceal bleeding suggested that emergency TIPS is equally effec tive in the immediate short-term control of gastric Fundal varICEal bleeding.
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Segmental portal hypertension.
TL;DR: The diagnosis should be suspected in patients with gastroesophageal varices, but without signs of a liver disease, especially if isolated gastric varices are found, and the diagnosis is confirmed by portography.
Journal ArticleDOI
Natural history of pancreatitis-induced splenic vein thrombosis: a systematic review and meta-analysis of its incidence and rate of gastrointestinal bleeding
James R. Butler,George J. Eckert,Nicholas J. Zyromski,Michael J. Leonardi,Keith D. Lillemoe,Thomas J. Howard +5 more
TL;DR: Although reported incidences of PISVT vary widely across studies, an overall incidence of 14.1% is reported and splenomegaly is an unreliable sign of PisVT.
Journal ArticleDOI
The significance of sinistral portal hypertension complicating chronic pancreatitis.
TL;DR: Concomitant splenectomy should be strongly considered in patients undergoing operative treatment of symptomatic chronic pancreatitis if sinistral portal hypertension and gastroesophageal varices are also present.
References
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Journal ArticleDOI
The rôle of congestion (portal hypertension) in so-called banti's syndrome: a clinical and pathologic study of thirty-one cases with the late results following splenectomy
TL;DR: This presentation is an effort to abstract some order out of the large remaining number of cases that had been grouped under the inclusive caption of Banti's disease.
Journal ArticleDOI
The roentgenologic demonstration of esophageal varices as a diagnostic aid in chronic thrombosis of the splenic vein
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