Proximal Splenorenal Shunt (PSRS) for Management of Upper Gastrointestinal Bleeding due to Extra Hepatic Portal Vein Obstruction (EHPVO)
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 11
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.
Authors and Affiliations
Sarat Chandra Jayasingh
Keywords
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