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Portal hypertension after combined liver and intestinal transplantation, a diagnostic and therapeutic challenge?
Author(s) -
Monbaliu Diethard,
Vandersmissen Jo,
De Hertogh Gert,
Van Assche Gert,
Hoffman Ilse,
Knops Noël,
Debbaut Charlotte,
Heye Sam,
Pirenne Jacques,
Maleux Geert
Publication year - 2012
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.1399-3046.2012.01670.x
Subject(s) - medicine , anastomosis , surgery , liver transplantation , portal hypertension , inferior vena cava , stent , angioplasty , transplantation , stenosis , complication , percutaneous , radiology , superior vena cava , cirrhosis
Monbaliu D, Vandersmissen J, De Hertogh G, Van Assche G, Hoffman I, Knops N, Debbaut C, Heye S, Pirenne J, Maleux G. Portal hypertension after combined liver and intestinal transplantation, a diagnostic and therapeutic challenge?
Pediatr Transplantation 2012: 00: 000–000. © 2012 John Wiley & Sons A/S. Abstract: A widely accepted technique to transplant the liver‐bowel bloc is first to perform a piggyback anastomosis of the donor suprahepatic vena cava to the recipient vena cava; second to restore the arterial blood supply through an aortic interposition graft; and third to ensure venous drainage of the native foregut. The venous drainage of the native foregut can be restored through an end‐to‐end portocaval anastomosis between the donor infrahepatic vena cava and the recipient portal vein. Stenosis of this anastomosis can lead to portal hypertension presenting with upper GI congestion, bleeding, and hypersplenism. We report the successful treatment of this complication using an e‐PTFE‐covered stent inserted following balloon angioplasty.