Five years’ experience and outcomes in splenorenal shunt

BACKGROUND: Esophageal varices are a condition typically brought on by portal hypertension. Extrahepatic portal vein thrombosis and other factors, such as cardiac issues or hepatic cirrhosis, are the most prevalent causes of portal hypertension. The distal splenorenal shunt proposed by Warren and colleagues reduces venous pressure effectively. This study aimed to identify the characteristics of patients who received splenorenal shunt and their results during a five-year period. METHODS: In the span of 5 years (2017-2022), distal splenorenal shunt surgery was performed at RSUD Dr. Soetomo, Surabaya, on patients treated at RSUD Dr. Soetomo and underwent splenorenal shunt surgery. Researchers examined the gender, age, and prognosis of the patients. Then, descriptive data are collected to illustrate the distribution of the specified variable. RESULTS: Dr. Soetomo performed splenorenal shunt surgery on 20 patients between 2017 and 2022. There were 14 male participants in the research, whereas there were only 6 female participants. The most prevalent diagnosis among surgical patients was esophageal varices (N.=18), followed by portal hypertension (N.=13), esophageal varices with portal hypertension (N.=11), and esophageal varices without portal hypertension (N.=8). The mean age of the patients was 11.55 years (standard deviation 10.61 years), with the youngest patient being 1 year old and the oldest being 46 years old. The mean long of stay of patient was 9 days. Most patients who had a splenorenal shunt were cured (N.=19), and one patient passed away. CONCLUSIONS: Patient case series with splenorenal shunt surgery at RSUD Dr. Soetomo Surabaya, the splenorenal shunt can be considered for surgical management in esophageal varices and portal cases of hypertension because it has a good outcome with the majority of patients recovering.