Keywords
Child
Portal Hypertension
Splenorenal shunt
How to Cite
Abstract
Extrahepatic portal hypertension (EHPVO) is a common cause of portal hypertension in children. Surgical Porto-systemic shunt operation is often required when they do not respond to medical or endoscopic interventions. Among various types of shunt surgery, the proximal splenorenal shunt, also known as the Linton’s shunt is a viable option with good outcome. The modification of the proximal splenorenal shunt is the spleno-adrenal shunt which has been sparsely described in literature. This is a case of EHPVO managed with spleno-adrenal venous anastomosis highlighting the main advantages of using the adrenal vein as a conduit when performing a splenorenal shunt.
References
Sorrentino D, Labombarda A, DeBiase F, Trevisi A, Giagu P. Cavernous transformation of the portal vein associated with multiorgan developmental abnormalities. Liver Int. 2004;24(1):80-3. [PubMed | Full Text | DOI]
Sarin SK, Philips CA, Khanna R. Noncirrhotic portal hypertension: Medical and endoscopic management. Clin Liver Dis. 2015;6(5):107-11. [PubMed | Full Text | DOI]
Gu S, Chang S, Chu J, Xu M, Yan Z, Liu DC, et al. Splenoadrenal shunt: A novel alternative for portosystemic decompression in children with portal vein cavernous transformation. J Pediatr Surg. 2012;47(12):2189-93. [Full Text | DOI]
Rikkers LF, Jin G, Burnett DA, Buchi KN, Cormier RA. Shunt surgery versus endoscopic sclerotherapy for variceal hemorrhage: Late results of a randomized trial. Am J Surg. 1993;165(1):27-33. [PubMed | Full Text | DOI]
Orloff MJ, Orloff MS, Rambotti M. Treatment of bleeding esophagogastric varices due to extrahepatic portal hypertension: Results of portalsystemic shunts during 35 years. J Pediatr Surg. 1994;29(2):142-54. [PubMed | Full Text | DOI]
Mazariegos GV, Reyes J. A technique for distal splenoadrenal shunting in pediatric portal hypertension. J Am Coll Surg. 1998;187(6):634-6. [PubMed | Full Text | DOI]
Aydin U, Yazici P, Kilic M. Porto-systemic shunt using adrenal vein as a conduit; An alternative procedure for splenorenal shunt. 2007;213(3):45-60. [Full Text]
Kulkarni VM, Nagral SS, Mathur SK. Use of adrenal vein conduit for splenorenal shunts: A case report. Hepatogastroenterology. 1999;46(27):2033-4. [PubMed]
Linton RR, Jones CM, Volwiler W. Portal hypertension; the treatment by splenectomy and splenorenal anastomosis with preservation of the kidney. Surg Clin North Am. 1947;27(5):1162-70. [PubMed | Full Text | DOI]
Gupta S, Venkata Srinivas G, Chandrasekar AS, Kalayarasan R, Pottakkat B. Splenoadrenal shunt for noncirrhotic portal hypertension. Indian J Surg. 2019;81(1):28-31. [Full Text]