EFFECTIVENESS OF PROXIMAL SPLENORENAL SHUNT IN THE TREATMENT OF COMPLICATIONS OF PORTAL HYPERTENSION AND HYPERSPLENISM

Objective : Surgical portosystemic shunts are effective for treating rebleeding from esophageal and gastric varices and improvement in the thrombocytopenia and leukopenia in patients with portal hypertension with well preserved liver function. Materials and methods : 8 patients (4 male and 4 female) who received splenorenal shunts for the indication of varices bleeding and hypersplenism from September 2015 to November 2017. Their etiology of portal hypertension, associated treatments and clinical outcomes were reviewed. Results : All patients received PSRS, were examined for median follow-up of 7-24 months. No postoperative encephalopathy or major complications. Late rebleeding which occurs in esophageal varices, occurred in one patient who was managed by using endoscopic treatment.