The portal hemodynamics after inferior mesenterico-renal shunt in portal hypertensive bleeders

Abstract

In the present work twenty patients of portal hypertension with bleeding esophageal varices have been studied as regards portal hemodynamics before and after inferior mesenterico-renal shunt. They were 15 males and 5 females, the mean age of the patients were 38.35+13.47 years. Fourteen of the patients were Child A classification and six was Child B classification.

All patients where subjected to color duplex and endoscopy to study the portal hemodynamics preoperative.

shunt.

All patients where subjected to inferior mesenterico-renal

Color duplex and endoscopy were done for all patients postoperative to study the portal hemodynamics and variceal state. We came to the following results after inferior mesenterico-renal shunt: Results:

1. Significant decrease m portal vem diameter and

• .. insignificant decrease in portal vein flow and velocity.

2. Insignificant decrease in splenic vein diameter, flow and velocity.