Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2012  |  Volume : 17  |  Issue : 3  |  Page : 104--106

Splenosis after splenectomy and spleen tissue autoimplantation: Late followup study


Carlos T Brandt1, S. C. S. Brandão2, A. L. C. Domingues3, LA Gondra4, RA Viana4 
1 Department of Pediatric Surgery, Federal University of Pernambuco (UFPE), Brazil
2 Department of Nuclear Medicine, Federal University of Pernambuco (UFPE), Brazil
3 Department of Gastroenterology, Federal University of Pernambuco (UFPE), Brazil
4 Medical Student, Federal University of Pernambuco (UFPE) and Scholarship of Scientific Initiation - Brazilian National Council for Research (CNPq), Brazil

Correspondence Address:
Carlos T Brandt
Av. Moraes Rego S/N, 50670-420, Recife, PE
Brazil

Aim : In children suffering from severe hepatosplenic schistosomiasis, the surgical protocol includes splenectomy and autoimplantation of spleen morsels in the major omentum, which has the potential of reducing the overwhelming postsplenectomy infection (OPSI). The purpose of the study was to evaluate the remaining splenosis, with the mean postoperative followup of 12.1 ± 5.6 years; to compare the efficacy of the 2 evaluation tools. Materials and Methods : Nineteen patients underwent, when they were children, portal decompression and autoimplantation of spleen. After a mean age of 23.4 ± 5.3 years, they were investigated regarding the number of infections and OPSI. They had undergone hepatosplenic scintigraphy with labeled colloidal SnTc 99m and abdominal ultrasound. It was considered efficient splenosis when the patients presented with 5 or more spleen nodules. The evaluation was performed by 3 observers. Results : None of the patients had increased infection rate or developed OPSI. Sixteen (84.2%) presented efficient splenosis. Conclusions : The remaining postoperative splenosis was considered efficient in the majority of patients in the long-term followup; and nuclear medicine was considered the gold standard for splenosis evaluation.


How to cite this article:
Brandt CT, Brandão S, Domingues A, Gondra L A, Viana R A. Splenosis after splenectomy and spleen tissue autoimplantation: Late followup study.J Indian Assoc Pediatr Surg 2012;17:104-106


How to cite this URL:
Brandt CT, Brandão S, Domingues A, Gondra L A, Viana R A. Splenosis after splenectomy and spleen tissue autoimplantation: Late followup study. J Indian Assoc Pediatr Surg [serial online] 2012 [cited 2019 Oct 22 ];17:104-106
Available from: http://www.jiaps.com/article.asp?issn=0971-9261;year=2012;volume=17;issue=3;spage=104;epage=106;aulast=Brandt;type=0