title: Portal decompression through direct side-to-side mesocaval anastomosis in the management of certain forms of portal hypertension.
abstract: When performing a portosystemic shunt in patients with portal hypertension due to pre-hepatic block, a number of technical problems may arise. In these cases direct side-to-side mesocaval anastomosis through an interruption of the duodenum is favoured by the Authors. Two personal cases of young patients successfully treated by this procedure are reported. In both cases a central splenorenal shunt had been previously performed to treat a pre-hepatic block. The patients presented with recurrent gastrointestinal bleeding, which resulted from delayed thrombosis.
mesh_terms: D002648:Child; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D011859:Radiography