Proximal Splenorenal Shunt (PSRS) for Management of Upper Gastrointestinal Bleeding due to Extra Hepatic Portal Vein Obstruction (EHPVO)

Title: Proximal Splenorenal Shunt (PSRS) for Management of Upper Gastrointestinal Bleeding due to Extra Hepatic Portal Vein Obstruction (EHPVO)

Authors: Sarat Chandra Jayasingh, Chitta Ranjan Sarangi, Mihir K Mohapatra

DOI: https://dx.doi.org/10.18535/jmscr/v5i11.201

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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K Arora and M.K. Das, Extra Hepatic Portal Venous Obstruction in Children, The INCLEN Trust International, New Delhi, India.
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S Prasad, S. Gupta, V. Kohli, G.K Pande, P. Sahni, and S. Nundy, “Proximal splenorenal shunts for extrahepatic portal venous obstruction in children,” Annals of Surgery, vol. 219, no 2, PP. 193-196, 1994.
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