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Related Experiment Videos

Elective splenorenal anastomosis.

A G Riddell, K Bloor, K E Hobbs

    British Medical Journal
    |March 18, 1972
    PubMed
    Summary
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    Splenorenal anastomosis effectively manages bleeding esophageal varices, demonstrating high shunt patency. While operative mortality was 11%, recurrent bleeding was low at 6%.

    Area of Science:

    • Gastroenterology
    • Surgical Procedures
    • Vascular Surgery

    Background:

    • Esophageal varices are a serious complication of liver disease, often leading to life-threatening hemorrhage.
    • Splenorenal anastomosis is a surgical option to reduce portal pressure and control variceal bleeding.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of splenorenal anastomosis in patients with esophageal variceal hemorrhage.

    Main Methods:

    • A retrospective analysis of 36 patients who underwent splenorenal anastomosis for esophageal varices.
    • Patients included cirrhotics and those with extrahepatic blocks or congenital hepatic fibrosis.
    • Follow-up ranged from 6 months to 16 years.

    Main Results:

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  • Operative mortality was 11%.
  • Recurrent hemorrhage occurred in 6% of patients.
  • Neurological manifestations were observed in 38% of patients at risk.

    • Conclusions:

    • Splenorenal anastomosis is associated with a high degree of shunt patency for managing esophageal variceal bleeding.
    • The procedure carries risks including operative mortality and potential neurological complications.