Is it okay not to remove the spleen for cirrhosis with splenomegaly?

Written by Yang Chun Guang
Gastroenterology
Updated on September 26, 2024
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Once cirrhosis patients are found to have splenic hyperfunction, in order to reduce the splenic hyperfunction and its phagocytic destruction of red blood cells, white blood cells, and platelets, the spleen must be dealt with. Traditionally, the treatment plan could involve surgically removing the spleen, also known as splenectomy. However, current treatment plans generally involve interventional methods. After multiple interventional embolizations, the spleen undergoes aseptic necrosis and is absorbed, thus improving the condition of splenic hyperfunction. Therefore, now in cases of cirrhosis with splenic hyperfunction, it is possible to treat without removing the spleen, using interventional methods instead.

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Written by Wu Hai Wu
Gastroenterology
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Will the platelet count be low in the early stages of cirrhosis?

The early stage of cirrhosis does not cause a decrease in platelets. Patients in the early stages of cirrhosis often have no obvious symptoms and may only exhibit fatigue, weight loss, jaundice, etc. However, once a patient with cirrhosis develops splenic hyperfunction, it can easily lead to a decrease in platelets, where the platelet count may drop to 100,000 per microliter. In such cases, it might be necessary to perform procedures like splenic embolization or splenectomy for antimicrobial treatment, and it is also important to prevent other complications of cirrhosis, such as esophageal and gastric varices, etc.

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Written by Si Li Li
Gastroenterology
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What are the complications of late-stage liver cirrhosis?

Late-stage cirrhosis can lead to many complications, such as bleeding from esophageal and gastric varices, which is one of the more common and severe complications of cirrhosis. Other complications include spontaneous peritonitis, liver cancer, hepatorenal syndrome, hepatic encephalopathy, portal vein thrombosis, and symptoms like ascites, palmar erythema, and spider angiomas. Additionally, there may be symptoms such as dark skin or hyperpigmentation and jaundice. Once cirrhosis is diagnosed, timely intervention and treatment are necessary to delay the progression of the disease.

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Written by Wu Hai Wu
Gastroenterology
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Is early-stage cirrhosis easy to detect?

Early-stage liver cirrhosis can be detected through abdominal ultrasound examinations or blood tests, such as liver function tests, liver fibrosis quartet tests, or transient elastography of the liver. Once early-stage liver cirrhosis is diagnosed, further diagnostic tests are necessary to promptly determine the underlying causes of liver cirrhosis, allowing for causal and symptomatic treatment to begin as soon as possible. After the onset of liver cirrhosis, it is crucial to regularly complete abdominal ultrasound examinations and gastroscopy to check for the presence of complications such as ascites or bleeding from esophagogastric varices, among others.

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home-news-image
Written by Yang Chun Guang
Gastroenterology
47sec home-news-image

Is it okay not to remove the spleen for cirrhosis with splenomegaly?

Once cirrhosis patients are found to have splenic hyperfunction, in order to reduce the splenic hyperfunction and its phagocytic destruction of red blood cells, white blood cells, and platelets, the spleen must be dealt with. Traditionally, the treatment plan could involve surgically removing the spleen, also known as splenectomy. However, current treatment plans generally involve interventional methods. After multiple interventional embolizations, the spleen undergoes aseptic necrosis and is absorbed, thus improving the condition of splenic hyperfunction. Therefore, now in cases of cirrhosis with splenic hyperfunction, it is possible to treat without removing the spleen, using interventional methods instead.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
48sec home-news-image

Can early-stage cirrhosis cancer be cured?

Whether early-stage liver cirrhosis cancer can be cured depends on a detailed analysis of the specific situation. Firstly, if a patient with early-stage liver cirrhosis develops cancer, it is crucial to promptly combine the patient’s physical condition with aggressive surgical treatment. The specific surgical approach and procedure are determined by clinical doctors. Moreover, for patients with early-stage cancer, targeted etiological treatment should be administered. For instance, if the early-stage liver cancer is caused by alcoholic liver cirrhosis, active intervention is necessary. If it is due to viral hepatitis, such as chronic hepatitis B leading to liver cirrhosis and progressing to early-stage cancer, active antiviral treatment is required.