Treatment of extrahepatic portal hypertension following a whipple procedure with a Rex shunt: report of a case.
The Rex shunt is a mesenteric vein to left portal vein decompressive shunt used for the treatment of portal vein thrombosis and portal hypertension. Its use has been reported primarily in the pediatric population where portal vein thrombosis occurs with some frequency. The shunt is thought to represent a more physiologic shunt, since it restores hepatopedal blood flow through the liver. This report describes the use of this shunt in an adult who had frequent gastrointestinal bleeding secondary to extrahepatic portal vein thrombosis, which occurred as a complication after a pancreaticoduodenectomy.
Department of Surgery, Division of Transplant Surgery, University of Chicago Medical Center, 5841 South Maryland Avenue, Chicago, IL 60637, USA.
Trevor W
TW
Reichman
Tiffany
T
Anthony
Giuliano
G
Testa
D000328:Adult; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008642:Mesenteric Veins / Q000601:surgery; D016577:Pancreaticoduodenectomy; D011169:Portal Vein / Q000601:surgery; D011170:Portasystemic Shunt, Surgical; D013927:Thrombosis / Q000150:complications
J Pediatr Surg. 2000 Jan;35(1):13-8; discussion 18-9
10646766
Transplantation. 1996 Jul 15;62(1):71-5
8693549
J Pediatr Surg. 2006 Jul;41(7):1259-63
16818059
Br J Surg. 1998 May;85(5):611-7
9635805
J Pediatr Surg. 1998 Apr;33(4):597-601
9574759
Pediatr Transplant. 2006 Dec;10(8):908-13
17096756
Int J Radiat Oncol Biol Phys. 2006 Mar 1;64(3):730-5
16257135
J Pediatr Gastroenterol Nutr. 2003 Feb;36(2):213-6
12548056
J Pediatr Surg. 2007 Jun;42(6):1137-40
17560237
J Pediatr Surg. 2006 Jan;41(1):108-12; discussion 108-12
16410118