Distal splenorenal shunt with partial spleen resection

Gajin, Predrag; Radević, B; Nenezić, Dragoslav; Ilijevski, Nenad; Jesic-Vukicevic, Rada; Radak, Djordje

doi:10.2298/sarh0706293g

Cited by 5 publications

(2 citation statements)

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“…However, spleen preserving shunts are preferred in children to reduce the risk of post-splenectomy sepsis and they have been known to result in long-times patency and cessation of preoperative symptoms [12]. Some authors have advocated distal splenorenal shunts with partial splenic resection instead [13], others have favoured partial splenic embolization [14].…”

Section: Discussionmentioning

confidence: 99%

Portal Hypertension Complicating Choledochal Cyst

Sarin¹,

Jain²

2018

JPNC

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Section: Discussionmentioning

confidence: 99%

Portal Hypertension Complicating Choledochal Cyst

Sarin¹,

Jain²

2018

JPNC

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“…No patient developed portal-systemic encephalopathy. Gajin et al ., [ 23 ] compared different surgeries in PHT patients and found that in the group of patients treated by distal splenorenal shunt with partial spleen resection, only one patient had splenomegaly post-operatively (5 %), while in the group of patients treated by a distal splenorenal shunt only, there were 13 patients with splenomegaly (68 %). There was a significant statistical difference in platelet count and splenic volume, which revealed that distal splenorenal shunt (Warren) plus partial spleen resection was superior to the original Warren.…”

Section: Discussionmentioning

confidence: 99%

Long-term efficacy of subtotal splenectomy due to portal hypertension in cirrhotic patients

et al. 2015

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BackgroundPortal hypertension (PHT) requires invasive measures to prevent rupture and bleeding of esophagogastric varices; however, the long-term results of subtotal splenectomy plus fixation of the retrosternal omentum majus (SSFROM) have not been reported. Specifically, the advantages and disadvantages of surgery that preserves the spleen and the long-term hematologic effects have not been described.Study designOur studies relating to SSFROM commenced in February 1999. As of April 2014 we have performed 256 subtotal splenectomies The records of 65 patients with PHT who underwent SSFROM were reviewed retrospectively.ResultsFour patients died within 4 years of surgery, with a 4-year survival rate of 94 %; the 11-year survival rate was 60 %. Eleven patients (17 %) had re-bleeding from esophagogastric varices. The white blood cell and platelet counts were higher 6 and 11 years post-operatively compared with pre-operative values (P < 0.01). Portal venous diameter, portal venous flow volume, splenic artery flow volume, as well as splenic length, thickness, and average cross-sectional areas were shown to be significantly constricted or decreased (P < 0.01). The proportion of serum CD3+ T cells, CD4+ T cells, and CD8+ T cells was increased (P < 0.01), while the serum levels of macrophage colony-stimulating factor and granulocyte-macrophage colony-stimulating factor were significantly decreased (P < 0.01). There was no significant change in the serum levels of IgA, IgM, IgG, and Tuftsin (P > 0.05). DSA demonstrated that 15 cases formed collateral circulations between the portal vein and superior vena cava.ConclusionSSFROM provide long-term hemostasis for esophagogastric variceal bleeding in PHT and corrected hypersplenism. SSFROM is an effective treatment for patients with PHT in whom long-term survival is expected.

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Partial Splenectomy and Splenorrhaphy

Al-Salem

2023

The Spleen

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Distal splenorenal shunt with partial spleen resection

Cited by 5 publications

References 5 publications

Portal Hypertension Complicating Choledochal Cyst

Portal Hypertension Complicating Choledochal Cyst

Long-term efficacy of subtotal splenectomy due to portal hypertension in cirrhotic patients

Partial Splenectomy and Splenorrhaphy

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