title: Creation of a percutaneous mesocaval shunt to control variceal bleeding in a child.
abstract: Although transjugular intrahepatic portosystemic shunt (TIPS) placement is the standard procedure for the treatment of portal hypertension, it is often impossible to perform in patients with extrahepatic portal vein occlusion. In these patients, options for decompressing the liver are few. In this report, we present a novel solution for managing gastro-esophageal hemorrhage in a child with portal hypertension and extrahepatic portal vein occlusion, through the creation of a percutaneous mesocaval shunt.
authors: University of Miami Miller School of Medicine, Miami, FL, USA.
authors: Colin
authors: C
authors: Burke
authors: Andrew G
authors: AG
authors: Taylor
authors: Ernest J
authors: EJ
authors: Ring
authors: Robert K
authors: RK
authors: Kerlan
mesh_terms: D000293:Adolescent; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome