Meso-Rex bypass as an alternative technique for portal vein reconstruction at or after liver transplantation in children: Review and perspectives

Research output: Contribution to journalArticle

Abstract

Direct portal revascularization can be achieved by interposing a vascular graft between the SMV and the Rex recessus (left portal vein system): the MRB. To review indications and results of the procedure in the setting of pediatric liver transplantation, reports were selected from the English literature. Previously reported series were updated to analyze long-term outcome. A new series was added and analyzed as a complementary set of cases. A total of 51 cases were analyzed. With a 96% overall patient survival rate and a 100% long-term patency rate when the IJV is used for the bypass, MRB achieves a very successful physiologic cure of chronic portal hypertension and restores the portal flow into and through the liver graft. It also has been used successfully for primary revascularization of liver grafts, as well as for managing early acute portal vein thrombosis episodes. The use of this procedure in conjunction with other strategies and techniques might be of interest for transplant surgeons, particularly those caring for children.

Original languageEnglish
Pages (from-to)19-26
Number of pages8
JournalPediatric Transplantation
Volume17
Issue number1
DOIs
Publication statusPublished - Feb 2013

Keywords

  • bypass surgery
  • children
  • liver transplantation
  • portal vein thrombosis
  • pre-hepatic portal hypertension

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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