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Lester W. Martin, MD

AMA Arch Surg. 1967;95(3):332-338.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CHILDREN with bleeding esophaegeal varices secondary to an extrahepatic block of the portal vein present a particularly difficult problem to the surgeon. A splenorenal shunt generally will not provide adequate portal decompression because of the small diameter of the splenic vein. A conventional portacaval shunt cannot be constructed because of portal vein thrombosis with cavernous transformation and multiple small periportal collateral vessels. Our experience with a retropancreatic anastomosis of the portal vein to the left renal vein or to the vena cava in six children has been encouraging. This experience is presented since it appears that in certain instances this may provide the most satisfactory method of portal decompression. It can be employed successfully following previous splenectomy or following previous unsuccessful shunt surgery of other types.

Report of Cases

CASE 1 (97599).

—This 7-year-old white boy was admitted to the Cincinnati Children's Hospital on March 20, 1962 because of massive . . . [Full Text PDF of this Article]

Author Affiliations
Cincinnati

From the Department of Surgery, University of Cincinnati.

Footnotes
Submitted for publication March 15, 1967.

Read before the 24th annual meeting of the Central Surgical Association, Pittsburgh, Feb 23, 1967.

Reprint requests to 240 Bethesda Ave, Cincinnati 45229 (Dr. Martin).

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