%0 Journal Article
%T Post-gastrectomy spleen enlargement and esophageal varices: Distal vs total gastrectomy
%A Takatsugu Oida
%A Kenji Mimatsu
%A Hisao Kano
%A Atsushi Kawasaki
%A Youichi Kuboi
%A Nobutada Fukino
%A Sadao Amano
%J World Journal of Gastroenterology
%D 2010
%I Baishideng Publishing Group Co. Limited
%X 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 ¡À 409, and 2604 ¡À 360, respectively.CONCLUSION: Endoscopy should be performed to detect EVs when the platelet count-to-spleen diameter ratio is < 2600.
%K Spleen enlargement
%K Esophageal varices
%K Platelet count
%K Distal gastrectomy
%K Total gastrectomy
%U http://www.wjgnet.com/1007-9327/full/v16/i22/2801.htm