Meso-Rex bypass to manage prehepatic portal hypertension after the failure of an intrahepatic portosystemic stent shunting

Fabrizio di Francesco, Lidia Monti, Chiara Grimaldi, Cristina Lo Zupone, Arianna Bertocchini, Jean de Ville de Goyet

Research output: Contribution to journalArticle

Abstract

A cavernomatous transformation of the extrahepatic portion of the portal vein is a common cause of chronic portal hypertension in children. A few attempts at radiological interventions have been reported, but have rarely been successful. In this report, a surgical Meso-Rex bypass was performed to treat complicated prehepatic portal hypertension, after the insertion of an intrahepatic stent for portosystemic shunting had failed. The review of this case nicely illustrates how differently effective are these two shunting procedures— in terms of restoring hepatopetal flow, managing portal hypertension, and establishing—or not—portosystemic connections.

Original languageEnglish
Pages (from-to)101-105
Number of pages5
JournalPediatric Surgery International
Volume31
Issue number1
DOIs
Publication statusPublished - Nov 18 2015

Keywords

  • Complications
  • Extrahepatic portal hypertension
  • Meso-Rex bypass
  • Surgical technique
  • Transjugular intrahepatic portosystemic shunt

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Medicine(all)

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