Abstract
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.
Copyright © 2011 Elsevier Inc. All rights reserved.
MeSH terms
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Anal Canal / abnormalities
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Anal Canal / surgery
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Child
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Collateral Circulation
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Gastrointestinal Hemorrhage / etiology
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Gastrointestinal Hemorrhage / therapy
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Humans
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Hypertension, Portal / etiology
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Hypertension, Portal / surgery*
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Jugular Veins / surgery*
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Magnetic Resonance Imaging
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Mesenteric Vascular Occlusion / surgery*
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Mesenteric Veins
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Portal Vein / surgery*
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Portasystemic Shunt, Surgical / methods*
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Postoperative Complications / surgery
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Rectum / abnormalities
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Rectum / surgery
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Sclerotherapy
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Spleen / pathology
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Splenic Vein / surgery*
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Venous Thrombosis / surgery*