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RESULTS OF VARIOUS SURGICAL PROCEDURES PERFORMED FOR PORTAL HYPERTENSION DUE TO HEPATOPORTAL SCLEROSIS (NONCIRRHOTIC PORTAL FIBROSIS)

Dr. Mazia Shabbir, Dr. Raana Shahid, Dr. Tehrim Tahir

Hepatoportal sclerosis or idiopathic portal hypertension is widespread worldwide in developing and temperate countries. Goal: The aim of the study was determine the outcomes of various surgical procedures for portal hypertension due to hepatoportal sclerosis. Place and Duration: For 3-years duration from October 2016 to September 2019, in the Surgical department of Sir Ganga Ram Hospital, Lahore. Methods: Data for three years was collected in which Splenectomy or Shunt surgery was performed in 30 of 46 patients in three years duration. Indications for surgical intervention were severe hypersplenism and persistent upper left abdominal pain or frequent esophageal bleeding. Two operational deaths were due to uncontrolled bleeding. Results: None of the 30 patients experienced esophageal bleeding or encephalopathy for 1 to 3 years. Splenectomy was effective in patients without bleeding. The proximal splenorenal shunt is also satisfactory in all cases. In recent cases, however, Warren’s shunt has brought even more encouraging results. Conclusion: In addition to the general definition, the features of this disease, which were not previously discussed or highlighted in the literature, were presented in long-term results along with the surgical results and the surgical methods used. Key words: hepatoportal sclerosis, portal hypertension, surgical experience.

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