Post-gastrectomy spleen enlargement and esophageal varices: Distal vs total gastrectomy

作者：Oida Takatsugu^*; Mimatsu Kenji; Kano Hisao; Kawasaki Atsushi; Kuboi Youichi; Fukino Nobutada; Amano Sadao

来源：World Journal of Gastroenterology, 2010, 16(22): 2801-2805.

DOI：10.3748/wjg.v16.i22.2801

• Spleen enlargement
• Esophageal varices
• Platelet count
• Distal gastrectomy
• Total gastrectomy

AIM: To study the relationship between platelet count-to-spleen diameter ratio and post-gastrectomy esophageal varices (EVs) development in patients without liver cirrhosis or hepatitis.
METHODS: We retrospectively studied 92 patients who underwent gastrectomy. They were divided into 2 groups on the basis of the surgical treatment: the distal gastrectomy (DG) group and total gastrectomy (TG) group. The incidence of EVs was determined and postoperative platelet counts, spleen diameters, and platelet count-to-spleen diameter ratios were compared between the 2 groups.
RESULTS: EVs were not detected during the first 6 mo after surgery in either group; however, at 12 mo after surgery, EVs were detected in 2 patients (3%) in the DG group and in 1 patient (3.6%) in the TG group; their mean platelet count-to-spleen diameter ratio was 2628 +/- 409, and 2604 +/- 360, respectively.
CONCLUSION: Endoscopy should be performed to detect EVs when the platelet count-to-spleen diameter ratio is < 2600.

• 出版日期2010-6-14