Abstract
Background: Extrahepatic portal vein obstruction (EHPVO) is a common cause of variceal bleeding in a children and young adult in India. Management with endoscopic means provide temporary palliation. Proximal splenorenal shunt (PSRS) is definitive & provides long term control of variceal bleed.
Methods: Between January 2011 & October 2017 we performed 20 elective proximal splenorenal shunts for EHPVO
Results: Postoperative mortality was zero, rebleeding occurred in 2 cases, pneumococcal infection & encephalopathy was never detected in any patient & no patient died during follow up.
Conclusion: Proximal splenorenal shunt for bleeding varices due to EHPVO is a definitive procedure with very low mortality, morbidity, and better long term result.
Keywords: Extrahepatic portal vein obstruction(EHPVO), proximal splenorenal shunt (PSRS).
References
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Corresponding Author
Dr Sarat Chandra Jayasingh
Assistant Professor, Dept of Surgical Gastroenterology,
SCB Medical College, Cuttack, Odisha, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.201
