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The use of autologous peritoneum in surgery of portal hypertension: H-shape splenorenal shunt using simple layer peritoneal tube

Ahead of print available from 21/06/2022
These articles are scheduled for publication in Vol. 85 (4) 2022

Author(s) N. Terwagne 1, L. Marique 1, A. Dieu 2, G. Dahlqvist 3, L. Coubeau 1
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DOI10.51821/85.4.9665
Affiliations:
(1) Service de Chirurgie et Transplantation Abdominale, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium
(2) Service d’Anesthésiologie, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium
(3) Service d’Hépato-gastro-entérologie, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium

The management of portal hypertension complicated by iterative gastro-intestinal bleeding remains challenging, especially in a low-income environment. Interventional radiology and endoscopic treatments are not always accessible, and a definitive surgical option may prove to be lifesaving. We report a new technique of surgical portosystemic shunt that can be performed in all contexts. We describe the surgical technique of a H-shaped splenorenal shunt using autologous rolled up peritoneum as a vascular graft.

Keywords: portal hypertension, splenorenal shunt, autologous parietal peritoneum
The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.