Variation of the Rex shunt for treating concurrent obstruction of the portal and superior mesenteric veins.
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.
Rua dos Otonis, 899, 04025-002 Federal University of São Paulo, São Paulo, SP, Brazil.
Alcides Augusto
AA
Salzedas-Netto
Alexandre Alberto Barros
AA
Duarte
Marcelo Moura
MM
Linhares
Regina Helena
RH
Mattar
Karina Lúcio
KL
Medeiros
Edson Khodor
EK
Cury
Gaspar de Jesus Lopes
Gde J
Filho
Adriano Miziara
AM
Gonzalez
José Luiz
JL
Martins
D001003:Anal Canal / Q000002:abnormalities / Q000601:surgery; D002648:Child; D003097:Collateral Circulation; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D007601:Jugular Veins / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D008642:Mesenteric Veins; D011169:Portal Vein / Q000601:surgery*; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery; D012007:Rectum / Q000002:abnormalities / Q000601:surgery; D015911:Sclerotherapy; D013154:Spleen / Q000473:pathology; D013162:Splenic Vein / Q000601:surgery*; D020246:Venous Thrombosis / Q000601:surgery*