Surgical shunting for chronic portal vein thrombosis in non cirrhotic patients

Objectives: to determine the outcome surgical shunting in patients with portal vein thrombosis. methods: a total of 20 patients were operated between oct 2002 and nov 2009. these patients underwent variety of surgical options available for portal vein thrombosis,depending upon individual requirements. all the patients were followed up at regular basis for outcome. results: 20 patients 12 (60%) males and 8 (40%) females were operated for portal hypertension. mean age was 33.5 yrs. 13 (65%) patients had no obvious cause. clinical manifestations included 10 (50%) with splenomegaly,5 (30%) with ascites and 15 (75%) with weight loss. 75% patients were diagnosed by doppler usg and 25% with ct scan. ten (50%) patients underwent distal splenorenal shunt,six (30%) had proximal splenorenal shunt and 4 (20%) had mesocaval shunting. two patients had episode of variceal bleeding at approximately 6 months follow. one patient died due to variceal bleeding,another patient due to unknown etiology. mean follow up was 68.35 months (sd=+/- 11.62).