A case report of non alcoholic steatohepatitis with progressive pancytopenia and esophagogastric varices successfully treated by splenectomy and proximal gastric devascularization

Kenji Fukuhara, Tadaaki Yokoyama, Tsuyoshi Sasaki, Nanako Fujikawa, Tatsuyuki Takadate, Takayuki Miura, Miki Yamada, Satoshi Awabuchi

研究成果: Article査読

抄録

A 60-year-old man with non alcoholic steatohepatitis (NASH) was introduced and hospitalized because of the getting worse of liver dysfunction, pancytopenia, splenomegaly and esophagogastric varices. We performed splenectomy and proximal gastric devascularization (Hassab’s operation) for this patient. Postoperative course was good, he was discharged from hospital at 23 days after operation. Pancytopenia improved immediately. Child-Pugh score was changed from 8 point to 6 point, and esophagogastric varices was improved from F3RC (+) to F1RC (−) 6 months after operation. Though 4 years have been passed after operation, liver function is kept well, and relapse of pancytopenia and esophagogastric varices, and appearance of hepatocellular carcinoma are not seen yet.

本文言語English
ページ(範囲)14-21
ページ数8
ジャーナルActa Hepatologica Japonica
58
1
DOI
出版ステータスPublished - 2017
外部発表はい

ASJC Scopus subject areas

  • 肝臓学

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