Results of splenectomy, spleno-renal vein anastomoses in the prevention of recurrent bleeding due to portal hypertension at Viet Duc Hospital in period 2000-2005
- Author:
Quyet Van Ha
;
Vu Van Kim
- Publication Type:Journal Article
- Keywords:
splenectomy;
spleno-renal vein anastomoses;
cirrhosis;
portal hypertension
- MeSH:
Splenectomy;
Fibrosis/ surgery;
Hypertension;
Portal;
- From:Journal of Surgery
2007;57(3):21-24
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Background: Nowadays, bleeding due to rupture of esophageal vein is common severe complication of portal hypertension syndrome. Spleno-renal vein anastomoses are useful procedure in the prevention of recurrent bleeding but there are some disadvantages. Objectives: To evaluate results of splenectomy, spleno-renal vein anastomoses in the prevention of recurrent bleeding due to portal hypertension at GI Emergency Department, Viet Duc Hospital. Subjects and method: This intervention study was carried out on 34 patients with bleeding due to rupture of esophageal vein in cirrhosis and portal hypertension. All patients underwent splenectomy, spleno-renal vein anastomoses. Mortality rate, recurrent bleeding, and anastomotic flow were assessed. Results and Conclusion: 34 patients (29 males and 5 females) with Child A and B cirrhosis underwent splenectomy and spleno-renal vein anastomoses. These procedures can prevent 88% of recurrent bleeding due to rupture of esophageal vein in cirrhosis and portal hypertension after 18 months of follow-up. 12% patients had recurrent bleeding. The number of patients with postoperative hepato-cerebral syndrome was small. The anastomotic stricture rate was suitable.
