Variation of the Rex shunt for treating concurrent obstruction of the portal and superior mesenteric veins

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• 作者：Alcides Augusto  ; Salzedas-Netto^a ; Alexandre Alberto Barros  ; Duarte ;   ; ^a ;   ; ^{aabd77@gmail.com} ; Marcelo Moura  ; Linhares^a ; Regina Helena  ; Mattar^a ; Karina Lú ; cio  ; Medeiros^a ; Edson Khodor  ; Cury^a ; Gaspar  ; de Jesus Lopes Filho^a ; Adriano Miziara  ; Gonzalez^a ; José ; Luiz  ; Martins^a
• 关键词：Extrahepatic portal vein ; Thrombosis ; Portal hypertension ; Rex shunt
• 刊名：Journal of Pediatric Surgery
• 出版年：2011
• 出版时间：October 2011
• 年：2011
• 卷：46
• 期：10
• 页码：2018-2020
• 全文大小：264 K

文摘

Children with extrahepatic portal vein obstruction can be managed successfully by surgical intervention and should be evaluated for potential meso-Rex bypass. A Rex shunt variation is described to treat portal and superior mesenteric vein thrombosis. This technique uses the internal jugular vein as a conduit between the splenic vein and the left portal vein with splenic preservation.