Cited by 5Liver Disease and TransplantationLiver physiology and pathologyAbdominal vascular conditions and treatments

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Distribution characteristics of cells in splenomegaly due to hepatitis B-related cirrhotic portal hypertension and their clinical importance

Open access
Han, Xiaoyu, Lv, Yunfu, Li, Yejuan, Deng, Jie, Qiu, Qingan, Liu, Ning, Zhao, Shuya, Liao, Caixian·2018·Journal of International Medical Research

Abstract

Objectives: To investigate peripheral cytopenia in patients with splenomegaly due to hepatitis B-related cirrhotic portal hypertension (HBRCPH) by comparing blood cell counts from enlarged spleens with peripheral blood. Methods: This prospective study involved patients undergoing splenectomy at the Nangfang Hospital from June 2013 to December 2015. Blood cell counts from peripheral blood were compared with those from splenic blood taken during splenectomies. Results: Clinical data were available from 30 patients. White blood cell (WBC), red blood cell (RBC) and platelet counts were statistically significantly lower in peripheral blood compared with splenic blood. After splenectomy, peripheral blood cell counts increased significantly compared with pre-operative levels. Platelet and WBC counts in the lower spleen were significantly higher than those in the porta lienis (middle segment) and upper spleen. Conclusions: In patients with splenomegaly due to HBRCPH, the counts of three blood cell lineages were significantly higher in the spleen than in peripheral blood. Splenectomy can aid the return of peripheral blood cell counts to normal levels. The most significant retention of platelets and WBCs occurred in the lower spleen which may be useful information for surgeons performing partial splenectomies.

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Crossref · 10.1177/0300060518767550

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Figures

Figure 1. The resected spleen was divided into three segments (upper, porta lienis [middle] and lower).
Figure 1. The resected spleen was divided into three segments (upper, porta lienis [middle] and lower).CC BY-NC · PubMed Central
Figure 2. Blood collection following an incision at different regions of the spleen.
Figure 2. Blood collection following an incision at different regions of the spleen.CC BY-NC · PubMed Central
Figure 3. Comparison of white blood cells (WBC) and platelets (PLT) among different areas of the enlarged spleen (anot statistically significant; bP<0.05; cP<0.01). There were no differences in red blood cell counts (data not shown).
Figure 3. Comparison of white blood cells (WBC) and platelets (PLT) among different areas of the enlarged spleen (anot statistically significant; bP<0.05; cP<0.01). There were no differences in red blood cell counts (data not shown).CC BY-NC · PubMed Central
Figure 4. A diagrammatic representation of the blood cell distribution in the enlarged spleen and peripheral blood.
Figure 4. A diagrammatic representation of the blood cell distribution in the enlarged spleen and peripheral blood.CC BY-NC · PubMed Central

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Citations

Cites

Show all 21 references

Research works printed but not linked: 7

  1. Yoshida I, 2005, Rinsho Ketsueki, 46, 1229
  2. Dameshek W., 1941, Bull New Engl Med Cent, 3, 304
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Metadata

Authors
Han, X., Lv, Y., Li, Y., Deng, J., Qiu, Q., Liu, N., Zhao, S., & Liao, C.
Affiliations
  • Nanfang Hospital (CN)
  • Department of General Surgery, Hainan Provincial People’s Hospital, Haikou 570311, China.
  • Department of Reproductive, Maternal and Child Care of Hainan Province, Haikou 571000, China
  • Department of Liver Vascular Surgery, Nangfang Hospital, Southern Medical University, Guangzhou 510515, China.
Corresponding author
Lv, Yunfu
Venue
Journal of International Medical Research
Published
2018-05-20
Volume
46
Issue
7
Pages
2633-2640
ISSN
  • 0300-0605 (ISSN-L)
  • 1473-2300
OpenAlex
W2805021776
Cited by
5
References
21
Citations by year
2024: 2 · 2023: 2 · 2022: 1
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • Journal of International Medical Research (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • the Special Fund for Scientific and Technological Cooperation of Hainan, China (KJHZ2015-28)
  • the Hainan provincial key scientific and technological research and development projects (ZDYF2016158)
Topics
  • Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
  • Health Sciences › Medicine › Hepatology › Liver physiology and pathology
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
Keywords
splenomegaly, hepatitis B cirrhosis, portal hypertension, peripheral cytopenia, splenectomy, platelet retention, red blood cell count, partial splenectomy
MeSH terms
Adult, Blood Cell Count, Female, Hepatitis B, Humans, Hypertension, Portal, Liver Cirrhosis, Male, Middle Aged, Pilot Projects, Prospective Studies, Splenomegaly, Young Adult

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CoChat. (2026). Citation check: Distribution characteristics of cells in splenomegaly due to hepatitis B-related cirrhotic portal hypertension and their clinical importance. https://app.cochat.ai/papers/10.1177/0300060518767550
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Han, X., Lv, Y., Li, Y., Deng, J., Qiu, Q., Liu, N., Zhao, S., & Liao, C. (2018). Distribution characteristics of cells in splenomegaly due to hepatitis B-related cirrhotic portal hypertension and their clinical importance. Journal of International Medical Research. https://doi.org/10.1177/0300060518767550