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Abstract
Background: Non-cirrhotic portal hypertension (NCPH) is one of the most common causes of upper gastrointestinal bleeding in children in developing countries.
Objective: To evaluate perioperative outcomes and early postoperative results of shunt surgery (splenectomy + splenorenal shunt) in pediatric patients with NCPH.
Methods: Eleven patients ≤15 years of age who underwent surgical intervention for NCPH between 2019–2023 were retrospectively analyzed. Demographics, clinical presentation, operative parameters, complications, and follow-up outcomes were recorded.
Results: All 11 children presented with upper gastrointestinal bleeding. Mean operative time was 4.77 hours and mean blood loss was 488.5 mL. Splenectomy with proximal splenorenal shunt (PSRS) was performed in all cases. Postoperative recovery was uneventful except one case of minor hematemesis. No shunt thrombosis occurred. Mean hospital stay was 9 days.
Conclusion: Surgical shunt procedures, particularly splenectomy with splenorenal shunt, are safe and effective for pediatric NCPH where endoscopic therapy fails or hypersplenism predominates. Outcomes from our center are comparable to major international series.