Cargando…

Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy

Extrahepatic portal vein obstruction (EHPVO) is the commonest cause of portal hypertension presenting with gastrointestinal bleeding and splenomegaly. Medical management of this condition may provide relief, but involves repeated hospital visits and endoscopic procedures. Surgery is an effective cur...

Descripción completa

Detalles Bibliográficos
Autores principales: Shinde, Sangram, Gopalan, Sarath, Kandpal, Deepak K., Chowdhary, Sujit K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3983775/
https://www.ncbi.nlm.nih.gov/pubmed/24741213
http://dx.doi.org/10.4103/0971-9261.129604
_version_ 1782311369369976832
author Shinde, Sangram
Gopalan, Sarath
Kandpal, Deepak K.
Chowdhary, Sujit K.
author_facet Shinde, Sangram
Gopalan, Sarath
Kandpal, Deepak K.
Chowdhary, Sujit K.
author_sort Shinde, Sangram
collection PubMed
description Extrahepatic portal vein obstruction (EHPVO) is the commonest cause of portal hypertension presenting with gastrointestinal bleeding and splenomegaly. Medical management of this condition may provide relief, but involves repeated hospital visits and endoscopic procedures. Surgery is an effective curative solution by lowering portal venous pressure with effective shunting of venous blood from splanchnic to systemic circulation. Shunt surgery for such a small baby has not been previously reported and splenectomy has its own problems. Similarly, banding or sclerotherapy in such babies is not without risk. Among the various shunt options, Mitra shunt (spleen preserving, side-to-side lienorenal shunt), developed and standardized in our own country, stands out as the most optimum surgical treatment for EHPVO in early infancy. We report a 4-month-old baby, youngest recipient of Mitra shunt reported in literature with successful outcome.
format Online
Article
Text
id pubmed-3983775
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-39837752014-04-16 Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy Shinde, Sangram Gopalan, Sarath Kandpal, Deepak K. Chowdhary, Sujit K. J Indian Assoc Pediatr Surg Case Report Extrahepatic portal vein obstruction (EHPVO) is the commonest cause of portal hypertension presenting with gastrointestinal bleeding and splenomegaly. Medical management of this condition may provide relief, but involves repeated hospital visits and endoscopic procedures. Surgery is an effective curative solution by lowering portal venous pressure with effective shunting of venous blood from splanchnic to systemic circulation. Shunt surgery for such a small baby has not been previously reported and splenectomy has its own problems. Similarly, banding or sclerotherapy in such babies is not without risk. Among the various shunt options, Mitra shunt (spleen preserving, side-to-side lienorenal shunt), developed and standardized in our own country, stands out as the most optimum surgical treatment for EHPVO in early infancy. We report a 4-month-old baby, youngest recipient of Mitra shunt reported in literature with successful outcome. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC3983775/ /pubmed/24741213 http://dx.doi.org/10.4103/0971-9261.129604 Text en Copyright: © Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Shinde, Sangram
Gopalan, Sarath
Kandpal, Deepak K.
Chowdhary, Sujit K.
Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy
title Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy
title_full Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy
title_fullStr Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy
title_full_unstemmed Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy
title_short Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy
title_sort mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3983775/
https://www.ncbi.nlm.nih.gov/pubmed/24741213
http://dx.doi.org/10.4103/0971-9261.129604
work_keys_str_mv AT shindesangram mitrashuntspleenpreservingsidetosidelienorenalshuntforportalhypertensionwithhypersplenisminearlyinfancy
AT gopalansarath mitrashuntspleenpreservingsidetosidelienorenalshuntforportalhypertensionwithhypersplenisminearlyinfancy
AT kandpaldeepakk mitrashuntspleenpreservingsidetosidelienorenalshuntforportalhypertensionwithhypersplenisminearlyinfancy
AT chowdharysujitk mitrashuntspleenpreservingsidetosidelienorenalshuntforportalhypertensionwithhypersplenisminearlyinfancy