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Cruveilhier‐Baumgarten syndrome: An efficient spontaneous portosystemic collateral preventing oesophageal varices bleeding
Author(s) -
CATURELLI EUGENIO,
POMPILI MAURIZIO,
SQUILLANTE MARIA MADDALENA,
SPERANDEO GIUSEPPE,
CARUGHI STEFANO,
SPERANDEO MARCO,
PERRI FRANCESCO,
ANDRIULLI ANGELO,
CELLERINO CATERINA,
RAPACCINI GIAN LUDOVICO
Publication year - 1994
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/j.1440-1746.1994.tb01716.x
Subject(s) - medicine , varices , portal hypertension , cirrhosis , hepatic encephalopathy , collateral circulation , varix , portal venous pressure , portosystemic shunt , gastroenterology , esophageal varices , gastric varices , radiology , surgery
The protective role of large spontaeous portosystemic shunts in oesophageal varices bleeding due to portal hypertension in liver cirrhosis is still debated. A series of 20 consecutive patients with haemodynamically efficient collaterals involving the para‐umbilical‐epigastric venous route (evaluated by Echo‐Doppler flowmetry) is reported. All patients presented absent or mild oesophageal varices at endoscopy. During a mean follow‐up period of 23.5 months, no patient developed large varices or experienced variceal bleeding. Hepatic encephalopathy was present in 35% of patients. Haemodynamically efficient spontaneous portosystemic shunts may protect cirrhotic patients from the risk of oesophageal varices forming and bleeding. The diversion of large amounts of blood from portal to systemic circulation correlates with the higher trend of hepatic encephalopathy in these patients.