Effect of Proximal Splenorenal Shunt on Intraoperative Portal Venous Pressure and Its Correlation with Clinical Outcomes

Proximal splenorenal shunt (PSRS), commonly performed for non-cirrhotic portal hypertension (NCPH), diminishes elevated portal venous pressure (PP) and prevents its sequelae. The change in PP after PSRS and its correlation with clinical outcome is largely unknown. Twenty-four patients who underwent...

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Bibliographic Details
Published in:Indian journal of surgery 2019-08, Vol.81 (4), p.338-343
Main Authors: Mohapatra, Nihar, Sandhyav, Rommel, Agrawal, Nikhil, Arora, Asit, Chattopadhyay, Tushar Kanti
Format: Article
Language:English
Subjects:
Cardiac Surgery
Catheters
Clinical outcomes
Medicine
Medicine & Public Health
Neurosurgery
Original Article
Pediatric Surgery
Plastic Surgery
Surgery
Thoracic Surgery
Veins & arteries
Venous pressure
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Summary:Proximal splenorenal shunt (PSRS), commonly performed for non-cirrhotic portal hypertension (NCPH), diminishes elevated portal venous pressure (PP) and prevents its sequelae. The change in PP after PSRS and its correlation with clinical outcome is largely unknown. Twenty-four patients who underwent PSRS for NCPH were evaluated prospectively. PP was measured after completion of splenectomy and after PSRS. Follow-up for 3 months was done to assess shunt patency and other relevant clinical variables. Change in PP and shunt patency were correlated with clinical outcome. Seventeen patients had extrahepatic portal vein obstruction (EHPVO) and seven had non-cirrhotic portal fibrosis (NCPF). There was a significant decrease in PP (median10 mmHg) after PSRS ( p  
ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-018-1803-7