Volume : 6, Issue : 6, June - 2017

PROXIMAL SPLENO RENAL SHUNT AN EXPERIENCE IN TERTIARY TEACHING HOSPITAL

Dr . Busineni. Moksha Prasuna, Dr. B. Ramesh, Dr. Ch . Madhusudhan

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">Extra hepatic Portal venous obstruction commonest cause for Portal hypertension. We conducted Proximalsplenorenal shunt, it is a accepted surgical procedure for portal hypertension in non-cirrhotic patients. It is a prospective study of shunt patency and symptomatic relief of patients. Analysis of shunt patency and reduction of symptoms </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">by </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">using clinical data pre and post-operative endoscopy, ultrasound doppler study of shunt and </span><a name="OLE_LINK9" style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;"></a><a name="OLE_LINK8" style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">Computed Tomographic Portogram</a><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;"> post operatively.</span></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">The patients are aged between 5 to 52years. Among them 16 are male and 12 are female. The follow-up period ranges from 6 to 60 months. There was no mortality seen at the time of the last follow-up. Type of shunt is proximal splenorenal shunt and splenectemy done in all the patients. Soon after surgery 80% were found to be patent follow-up. In long term follow-up the patency rate of portorenal shunt decreased. 2 patients shows symptoms like nasal bleed and rectal bleed once treated symptomatically. Remaining all patients shows symptomatic relief in follow-up. Endoscopy shows variceal regression.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">We did not encounter any mortality, one patient came with complaints of rectal bleed, and another patient came with complaints of nasal bleed treated conservatively.&nbsp;<o:p></o:p></span></p>