My husband is currently in hospital with bleeding from gastric varices. This is his 3rd admission in 6 weeks.
He was diagnosed with PV & ET 8 years ago and until this year has been stable. He had been taking hydroxicarbamide & propranalol. He has just started on ruxolitinib in place of the hydroxycarbamide, but has been told by his gastro consultant that the only option to stop the bleeding is to have his spleen removed. His haemo consultant thinks he should try the ruxolitinib first, but the gastro guy doesn't think he has that long before his varices rupture and they have no choice but to do an emergency splenectomy.
We've been reading so many different things on the web, all basically saying that a splenectomy is extremely high risk in patients with MPDs.
Can anyone give us advice on this? His spleen is classed as extremely large & he has also been suffering with anaemia this year.