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Subtotal Splenectomy and Central Splenorenal Shunt for Treatment of Bleeding from Roux En Y Jejunal Loop Varices Secondary to Portal Hypertension

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Abstract

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.

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Authors and Affiliations

  1. Department of Surgery, Medical School of the Federal University of Minas Gerais, Avenida Afonso Pena, 1626–apto. 1901, Belo Horizonte, Minas Gerais, 30130-005, Brazil

    Andy Petroianu

  2. Santa Casa de Misericórdia of Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil

    João Baptista Rezende-Neto, Andy Petroianu & Sandra Kelly Santana

Authors
  1. João Baptista Rezende-Neto
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  2. Andy Petroianu
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  3. Sandra Kelly Santana
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Correspondence to Andy Petroianu.

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Rezende-Neto, J.B., Petroianu, A. & Santana, S.K. Subtotal Splenectomy and Central Splenorenal Shunt for Treatment of Bleeding from Roux En Y Jejunal Loop Varices Secondary to Portal Hypertension. Dig Dis Sci 53, 539–543 (2008). https://doi.org/10.1007/s10620-007-9878-1

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  • DOI: https://doi.org/10.1007/s10620-007-9878-1

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