title: The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis.
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.
authors: Hans Michael
authors: HM
authors: Hau
authors: Department of Visceral, Transplantation, Vascular and Thoracic Surgery, University Hospital of Leipzig, Liebigstrasse 20, 04103 Leipzig, Germany. peter.fellmer@medizin.uni-leipzig.de.
authors: Peter
authors: P
authors: Fellmer
authors: Markus B
authors: MB
authors: Schoenberg
authors: Moritz
authors: M
authors: Schmelzle
authors: Mehmet Haluk
authors: MH
authors: Morgul
authors: Felix
authors: F
authors: Krenzien
authors: Georg
authors: G
authors: Wiltberger
authors: Albrecht
authors: A
authors: Hoffmeister
authors: Sven
authors: S
authors: Jonas
mesh_terms: D000328:Adult; D004386:Duodenum / Q000098:blood supply; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D008297:Male; D011167:Portacaval Shunt, Surgical / Q000379:methods*; D011169:Portal Vein / Q000002:abnormalities / Q000601:surgery*; D012008:Recurrence; D014648:Varicose Veins / Q000150:complications / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery; D020246:Venous Thrombosis / Q000209:etiology / Q000601:surgery