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Surgical guidelines for the management of extra‐hepatic portal vein obstruction
Author(s) -
Superina Riccardo,
Shneider Benjamin,
Emre Sukru,
Sarin Shiv,
De Ville de Goyet Jean
Publication year - 2006
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2006.00598.x
Subject(s) - medicine , portal hypertension , portal vein , vein , surgery , intensive care medicine , radiology , gastroenterology , cirrhosis
The recent introduction of the meso Rex bypass raises a possible paradigm shift in the therapeutic approach to extra‐hepatic portal vein obstruction (EHPVO). Long‐term follow‐up of patients with EHPVO has revealed a variety of complications including variceal hemorrhage, hypersplenism, biliopathy, growth/development retardation and neuropsychiatric disease. The meso Rex bypass restores physiologic blood flow to the liver. Thus, when feasible, the meso Rex bypass should be considered in patients with clinically significant manifestations of EHPVO. The opinions of a panel of experts regarding the surgical approach to the management of EHPVO are presented.