Display options
Cite
Shinde S, Gopalan S, Kandpal DK, et al. Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy. J Indian Assoc Pediatr Surg. 2014;19(2):96-9doi: 10.4103/0971-9261.129604.
Shinde, S., Gopalan, S., Kandpal, D. K., & Chowdhary, S. K. (2014). Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy. Journal of Indian Association of Pediatric Surgeons, 19(2), 96-9. https://doi.org/10.4103/0971-9261.129604
Shinde, Sangram, et al. "Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy." Journal of Indian Association of Pediatric Surgeons vol. 19,2 (2014): 96-9. doi: https://doi.org/10.4103/0971-9261.129604
Shinde S, Gopalan S, Kandpal DK, Chowdhary SK. Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy. J Indian Assoc Pediatr Surg. 2014 Apr;19(2):96-9. doi: 10.4103/0971-9261.129604. PMID: 24741213; PMCID: PMC3983775.
Copy Download .nbib Format: NLM
Share it on

J Indian Assoc Pediatr Surg. 2014 Apr;19(2):96-9. doi: 10.4103/0971-9261.129604.

Mitra shunt (spleen preserving, side to side lieno-renal shunt) for portal hypertension with hypersplenism in early infancy.

Journal of Indian Association of Pediatric Surgeons

Sangram Shinde, Sarath Gopalan, Deepak K Kandpal, Sujit K Chowdhary

Affiliations

  1. Department of Pediatric Urology and Pediatric Surgery, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India.

PMID: 24741213 PMCID: PMC3983775 DOI: 10.4103/0971-9261.129604

Abstract

Extrahepatic portal vein obstruction (EHPVO) is the commonest cause of portal hypertension presenting with gastrointestinal bleeding and splenomegaly. Medical management of this condition may provide relief, but involves repeated hospital visits and endoscopic procedures. Surgery is an effective curative solution by lowering portal venous pressure with effective shunting of venous blood from splanchnic to systemic circulation. Shunt surgery for such a small baby has not been previously reported and splenectomy has its own problems. Similarly, banding or sclerotherapy in such babies is not without risk. Among the various shunt options, Mitra shunt (spleen preserving, side-to-side lienorenal shunt), developed and standardized in our own country, stands out as the most optimum surgical treatment for EHPVO in early infancy. We report a 4-month-old baby, youngest recipient of Mitra shunt reported in literature with successful outcome.

Keywords: Extrahepatic portal venous obstruction; Mitra shunt; side to side lieno-renal shunt

References

  1. Br J Surg. 1988 May;75(5):404-8 - PubMed
  2. Eur J Pediatr Surg. 2005 Apr;15(2):82-7 - PubMed
  3. Arch Dis Child. 1994 Nov;71(5):437-40 - PubMed
  4. Indian J Pediatr. 1983 Jan-Feb;50(402):55-60 - PubMed
  5. Hepatology. 1992 Feb;15(2):229-33 - PubMed
  6. J Am Coll Surg. 2002 Jun;194(6):717-28; discussion 728-30 - PubMed
  7. J Pediatr Surg. 1993 Mar;28(3):398-401; discussion 401-2 - PubMed
  8. Trop Gastroenterol. 2011 Apr-Jun;32(2):94-102 - PubMed
  9. Indian Pediatr. 2000 Apr;37(4):422-5 - PubMed
  10. Br J Surg. 1983 Apr;70(4):209-11 - PubMed

Publication Types