Left sided poal hypeension is best treated by ?
Ans. is 'a' i.e Splenectomy Poal hypeension due to isolated splenic vein thrombosis is k/a left sided poal hypeension. In left sided poal hypeension the pressures in the poal and superior mesenteric veins are normal. There is gastrosplenic venous hypeension leading to formation of gastric varices (not esophageal varices). The splenic venous blood , blocked from its normal route due to splenic vein thrombosis, flows through the sho gastric vessels to the gastric fundus and then into the left gastric vein, continuing toward the liver. Causes of isolated splenic vein thrombosis are - pancreatitis - neoplasm - trauma Treatment --> by splenectomy
Splenectomy
Poocaval shunt
Leno-renal shunt
Spleno-renal shunt