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Surgery as primary prophylaxis from variceal bleeding in patients with extrahepatic portal venous obstruction

In patients with extrahepatic portal venous obstruction (EHO), death is usually due to variceal bleeding. This is more so in developing countries where there is a lack of tertiary health‐care facilities and blood banks. Prophylactic operations in cirrhotics have been found to be deleterious. In contrast, patients with EHO have well‐preserved liver function, and we therefore investigated the role of prophylactic surgery to prevent variceal bleeding.