AIM: To propose a less invasive surgical treatment for @entity101 . METHODS: Ten consecutive @entity1 with @entity101 with a history of @entity360 from @entity2312 were evaluated in this study. @entity1 were subjected to a small supraumbilical laparotomy with the ligature of the splenic artery and left gastric vein. During the procedure, direct portal vein pressure before and after the ligatures was measured. Upper gastrointestinal endoscopy was performed at the 30(th) postoperative day, when esophageal varices diameter were measured and band ligature performed. During follow-up, other endoscopic procedures were performed according to endoscopy findings. RESULTS: There was no intra-operative mortality and all @entity1 had confirmed histologic diagnoses of @entity101 . During the immediate postoperative period, two of the ten @entity1 had complications, one characterized by a @entity1188 , and the other by an incision @entity1410 . Mean hospitalization time was 4.1 d (range: 2-7 d). Pre- and post-operative liver function tests did not show any significant changes. During endoscopy thirty days after surgery, a decrease in variceal diameters was observed in seven @entity1 . During the follow-up period (57-72 mo), endoscopic therapy was performed and seven @entity1 had their varices eradicated. Considering the late postoperative evaluation, nine @entity1 had a decrease in variceal diameters. A mean of 3.9 endoscopic banding sessions were performed per @entity1 . Two @entity1 presented @entity548 recurrence at the late postoperative period, which was controlled with endoscopic banding in one @entity1 due to variceal @entity397 and presented as secondary to @entity384 in the other @entity1 . Both @entity548 episodes were of minor degree with no hemodynamic consequences or need for blood transfusion. CONCLUSION: Ligature of the splenic artery and left gastric vein with supraumbilical laparotomy is a promising and less invasive method for treating @entity101 .

Splenic artery ligature associated with endoscopic banding for XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity101 :: ('MESH:D006973', 'Disease') :: ['schistosomal portal hypertension', 'presinusoidal schistosomiasis portal hypertension', 'hepatosplenic schistosomiasis and portal hypertension'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity384 :: ('MESH:D002311', 'Disease') :: ['congestive gastropathy'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['splenic infarction'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity2312 :: ('MESH:D004932', 'Disease') :: ['esophageal varices rupture'] @entity360 :: ('MESH:D006471', 'Disease') :: ['upper gastrointestinal hemorrhage']
@entity101 :: (MESH:D006973,Disease) :: ['schistosomal portal hypertension']
