A hyperdynamic portal syndrome with ascites after endoscopic laser treatment

Laser therapy has gained wide acceptance and application in many medical disciplines. Side effects of laser therapy are rare and the most frequent mainly involve the skin. We describe a patient affected by familial adenomatous polyposis that had been repeatedly controlled and treated endoscopically...

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Bibliographic Details
Published in:	Journal of gastroenterology Vol. 37; no. 8; pp. 649 - 652
Main Authors:	Neri, Sergio, Ierna, Dario, Mauceri, Barbara, Abate, Giuseppe, Raspa, Giusy, Cristaldi, Raffaello
Format:	Journal Article
Language:	English
Published:	Japan Springer Nature B.V 01-08-2002
Subjects:	Adenomatous Polyposis Coli - surgery Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - etiology Ascites Embolization, Therapeutic Fatal Outcome Hepatic Artery - diagnostic imaging Hepatic Veins - diagnostic imaging Humans Laser Therapy - adverse effects Laser Therapy - methods Male Middle Aged Portal System - physiopathology Tomography, X-Ray Computed
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Summary:	Laser therapy has gained wide acceptance and application in many medical disciplines. Side effects of laser therapy are rare and the most frequent mainly involve the skin. We describe a patient affected by familial adenomatous polyposis that had been repeatedly controlled and treated endoscopically using an Nd:Yag laser. He presented with a progressive hyperdynamic portal syndrome with ascites caused by some arterovenous fistulas. We hypothesize that a rare side effect of the laser treatment may have caused ischemic and coagulative tissue inflammation that triggered off the pathological communications between the arterial and portal circulation.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0944-1174 1435-5922
DOI:	10.1007/s005350200103