Subtotal Splenectomy and Central Splenorenal Shunt for Treatment of Bleeding from Roux En Y Jejunal Loop Varices Secondary to Portal Hypertension
| Autor: | João Baptista de Rezende-Neto, Andy Petroianu, Sandra Kelly Santana |
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| Rok vydání: | 2007 |
| Předmět: |
Liver Cirrhosis
medicine.medical_specialty Cirrhosis Physiology medicine.medical_treatment Splenectomy Anastomosis Recurrence Hypertension Portal Humans Medicine business.industry Vascular disease Suture Techniques Gastroenterology Anastomosis Roux-en-Y Jejunal Diseases Middle Aged medicine.disease Combined Modality Therapy Roux-en-Y anastomosis Shunt (medical) Surgery Choledochostomy Portal hypertension Female Gastrointestinal Hemorrhage business Varices Splenorenal Shunt Surgical |
| Zdroj: | Digestive Diseases and Sciences. 53:539-543 |
| ISSN: | 1573-2568 0163-2116 |
| DOI: | 10.1007/s10620-007-9878-1 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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