Spleno-left adrenal vein shunt for portal cavernous transformation
10.3760/cma.j.issn.1007-631X.2010.01.006
- VernacularTitle:脾-左肾上腺静脉分流术治疗儿童门静脉海绵样变性
- Author:
Zhengjun ZHANG
;
Qimin CHEN
;
Min XU
;
Jun CHU
;
Zhilong YAN
;
Li HONG
;
Song GU
;
Ming HU
- Publication Type:Journal Article
- Keywords:
Hemangioma,cavernous;
Splenorenal shunt,surgical;
Hypertension,portal;
Gastrointestinal hemorrhage
- From:
Chinese Journal of General Surgery
2010;25(1):17-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of spleno-left adrenal vein shunt for the treatment of portal hypertensive upper GI bleeding caused by portal vein cavernous transformation in children.Methods Spleno-left adrenal vein shunt was performed in 8 children with portal hypertension due to cavernous transformation.The clinical data was reviewed.Results Portal vein pressure decreased significantly from (30±11)mm Hg to(22±7) mm Hg after shunt.There was no mortality perioperatively and during the follow-up.There were no recurrent hemorrhage nor hepatic encephalopathy occurring in the follow-up and all the children have normal intelligence and normal liver function though blood ammonia level increased significantly from(18±7)μmol/L to (60±17)μmol/L in 4 cases.In 7 cases in which preoperative whole blood cell count significantly decreased,the postoperative WBC,RBC,Hb and PLT was (7.64 ±4.46)×10~9/L,(4.54±0.97)×10~(12)/L,(133±5) g/L and (355.40±107.36)×10~9/L respectively (all P ＜0.05).In one case suffering from preoperative low PLT count the postop PLT reached 333×10~9/L,which was significantly higher than that preoperatively.Esophageal varices ameliorated in 6 cases.No stenosis of anastomotic stoma and thrombosis developed.Conclusion Spleno-left adrenal vein shunt is an effective procedure to treat portal vein cavernous transformation induced portal hypertension in children.
