Open AccessTreatment of extrahepatic portal hypertension in children by mesenteric‐to‐left portal vein bypass: a new physiological procedure
Author(s) -
de Ville de Goyet J.,
Alberti D.,
Falchetti D.,
Rigamonti W.,
Matricardi L.,
Clapuyt P.,
Sokal E. M.,
Otte J. B.,
Caccia G.
Publication year - 1999
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/11024159950189573
Subject(s) - medicine , portal hypertension , portal venous pressure , superior mesenteric vein , surgery , mesenteric vein , right gastric vein , portal vein thrombosis , decompression , inferior mesenteric vein , umbilical vein , thrombosis , portal vein , vein , radiology , cirrhosis , biochemistry , chemistry , in vitro
Objective: To achieve hepatic portal revascularisation and decompression of extrahepatic portal hypertension in children with cavernoma and obstruction caused by idiopathic portal vein thrombosis. Design: Selected cases. Setting: Teaching hospitals, Belgium and Italy. Subjects: 11 children who weighed between 5.9 and 54 kg (2 emergencies) with symptomatic extrahepatic portal hypertension. Intervention: Interposition of venous autograft between the superior mesenteric vein and the distal (umbilical) portion of the left portal vein. Main outcome measures: Improvements in symptoms and endoscopic appearance after operation. Results: 2 bypasses had to be redone because they stenosed; all 11 were patent at the time of writing (median follow‐up 6 months, range 1–32 months). Conclusion: The bypass effectively relieved symptoms of extrahepatic portal hypertension by restoring normal hepatic portal blood flow. Copyright © 1999 Taylor and Francis Ltd.