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The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis |
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| Authors: | Hans Michael Hau Peter Fellmer Markus B Schoenberg Moritz Schmelzle Mehmet Haluk Morgul Felix Krenzien Georg Wiltberger Albrecht Hoffmeister Sven Jonas |
| Institution: | 1.Department of Visceral, Transplantation, Vascular and Thoracic Surgery, University Hospital of Leipzig, Liebigstrasse 20, 04103 Leipzig, Germany;2.Department of Internal Medicine, Gastroenterology, University Hospital of Leipzig, Liebigstrasse 20, 04103 Leipzig, Germany;3.Department of Visceral, Transplantation, Vascular and Thoracic Surgery, University Hospital of München (LMU), Marchioninistrasse 15, 81377 Munich, Germany |
| Abstract: | Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein thrombosis (PVT). Recurrent duodenal variceal bleeding in non-cirrhotic patients with diffuse porto-splenic vein thrombosis and subsequent portal cavernous transformation represent a clinical challenge if classic shunt surgery is not possible or suitable.In this study, we represent a case of recurrent bleeding of duodenal varices in a non-cirrhotic patient with cavernous transformation of the portal vein that was successfully treated with a collateral caval shunt operation. |
| Keywords: | duodenal varice portal vein thrombosis portal hypertension shunt surgery collateral caval shunt |