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Splenectomy with proximal spleno-left portal shunt for extrahepatic portal vein obstruction in children.
J Pediatr Surg
October 2020
Pediatric Surgery Department, Ain-Shams University, Cairo, Egypt. Electronic address:
Purpose: To report our initial experience with splenectomy and proximal spleno-left portal shunt as an alternative to the standard Rex shunt, when not applicable, in children with Extrahepatic Portal Vein Obstruction (EHPVO).
Methods: Patients from March 2015 till September 2018, with EHPVO not suitable for Rex shunt or whose caregivers refused to consent for Internal Jugular Vein (IJV) dissection were assessed and prepared for splenectomy with proximal spleno-left portal shunt. The operative technique includes splenectomy, freeing of the splenic vein from the pancreatic bed till its junction with the inferior mesenteric vein, and then anastomosis with the intrahepatic left portal vein at the Rex recess.
Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy.
J Indian Assoc Pediatr Surg
April 2014
Department of Pediatric Urology and Pediatric Surgery, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India.
Extrahepatic portal vein obstruction (EHPVO) is the commonest cause of portal hypertension presenting with gastrointestinal bleeding and splenomegaly. Medical management of this condition may provide relief, but involves repeated hospital visits and endoscopic procedures. Surgery is an effective curative solution by lowering portal venous pressure with effective shunting of venous blood from splanchnic to systemic circulation.
View Article and Find Full Text PDFSplenectomy and proximal lieno-renal shunt in a factor five deficient patient with extra-hepatic portal vein obstruction.
BMC Surg
May 2006
Department of G,I, Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Background: The clinico-surgical implication and successful management of a rare case of factor five (V) deficiency with portal hypertension and hypersplenism due to idiopathic extra-hepatic portal venous obstruction is presented.
Case Presentation: A 16-year old boy had gastro-esophageal variceal bleeding, splenomegaly and hypersplenism. During preoperative workup prolonged prothrombin time and activated partial thromboplastin time were detected, which on further evaluation turned out to be due to factor V deficiency.
Splenectomy and lieno-renal shunt for extra hepatic portal venous obstruction.
Indian Pediatr
April 2000
Department of Gastrointestinal Surgery, Surgical Division and Gastroenterology Centre, Army Hospital (Research and Referral), Rao Tularm Marg, Delhi 110 010, India.
Profile of extrahepatic portal venous obstruction in Mumbai.
J Assoc Physicians India
August 1999
Dept of Gastroenterology, King Edward Memorial Hospital, Mumbai.
Aim Of The Study: To study the clinical profile of extrahepatic portal venous obstruction (EHPVO) in a tertiary referral centre in Mumbai.
Methodology: Retrospective analysis of records of 113 patients with EHPVO, treated between January 1984 and May 1996.
Results: Thirty eight of 54 (70.
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