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- Title
Subtotal Splenectomy and Central Splenorenal Shunt for Treatment of Bleeding from Roux En Y Jejunal Loop Varices Secondary to Portal Hypertension.
- Authors
João Rezende-Neto; Sandra Santana
- Abstract
Abstract Purpose  To present subtotal splenectomy and splenorenal shunt as a surgical option to treat severe bleeding from a Roux en Y jejunal loop varices secondary to portal hypertension. Method  A 64-year-old white woman presented severe episodes of bleeding from varices inside a Roux en Y jejunal loop secondary to portal hypertension due to cirrhosis. Subtotal splenectomy was performed with preservation of the upper splenic pole supplied by the splenogastric vessels. This procedure was combined with a central splenorenal shunt to divert part of portal blood to systemic flow. Results  This procedure was safely performed with no complications. A 2-year post-operative follow-up of the patient has been uneventful. No re-bleeding occurred during this period and she returned to her normal life. Conclusion  Subtotal splenectomy combined with central splenorenal shunt seems to be a safe procedure useful for the treatment of enteral bleedings due to portal hypertension.
- Subjects
HYPERTENSION; SURGICAL excision; SPLEEN surgery; VARICOSE veins
- Publication
Digestive Diseases & Sciences, 2008, Vol 53, Issue 2, p539
- ISSN
0163-2116
- Publication type
Article
- DOI
10.1007/s10620-007-9878-1