Friday, November 2, 2012


42 yr female with recurrent bleeding from esophageal and gastric varices more than 11 sessions of endo therapy and dyspite developement of recurrent varices...and hypersplinism

SURGERY : PSRS (proximal spleno renal shunt with splenectomy)
pre op portal pressure 38mm of water post shunt droped to 9.

post op patient sent home on day 5.