Outcome of portosystemic shunt surgery on pre‐existing cholangiopathy in children with extrahepatic portal vein obstruction

2019 ◽  
Vol 27 (3) ◽  
pp. 141-148 ◽  
Author(s):  
Aathira Ravindranath ◽  
Moinak Sen Sarma ◽  
Surender Kumar Yachha ◽  
Richa Lal ◽  
Somesh Singh ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portosystemic Shunt ◽  
Shunt Surgery ◽  
Extrahepatic Portal Vein Obstruction ◽  
Portal Vein Obstruction ◽  
Portosystemic Shunt Surgery

scholarly journals Prevalence and pattern of growth abnormalities in children with extrahepatic portal vein obstruction: Response to shunt surgery

2016 ◽  
Vol 20 (6) ◽  
pp. 763 ◽  
Author(s):  
BashirAhmad Laway ◽  
ToufeeqAhmad Mir ◽  
RaizAhmad Misgar ◽  
OmarJaved Shah ◽  
ZafarAmin Shah ◽  
...  
Keyword(s):  
Portal Vein ◽  
Shunt Surgery ◽  
Extrahepatic Portal Vein Obstruction ◽  
Portal Vein Obstruction ◽  
Growth Abnormalities

Liver nodules after portal systemic shunt surgery for extrahepatic portal vein obstruction in children

2009 ◽  
Vol 44 (7) ◽  
pp. 1337-1343 ◽  
Author(s):  
Florent Guérin ◽  
Juan Porras ◽  
Monique Fabre ◽  
Catherine Guettier ◽  
Danièle Pariente ◽  
...  
Keyword(s):  
Portal Vein ◽  
Shunt Surgery ◽  
Extrahepatic Portal Vein Obstruction ◽  
Liver Nodules ◽  
Portal Systemic Shunt ◽  
Portal Vein Obstruction

Reappraisal of shunt surgery for extrahepatic portal vein obstruction in adults: Report of a single-center case series

2015 ◽  
Vol 45 (13) ◽  
pp. 1307-1311 ◽  
Author(s):  
Takashi Kokudo ◽  
Estelle Bonard ◽  
Michel Gillet ◽  
Norihiro Kokudo ◽  
Nermin Halkic
Keyword(s):  
Portal Vein ◽  
Case Series ◽  
Shunt Surgery ◽  
Single Center ◽  
Extrahepatic Portal Vein Obstruction ◽  
Portal Vein Obstruction

Splanchnic vein closures

2019 ◽  
Vol 98 (6) ◽  
pp. 239-244
Keyword(s):  
Portal Vein ◽  
Surgical Approach ◽  
Medical Problem ◽  
Budd Chiari Syndrome ◽  
Extrahepatic Portal Vein Obstruction ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Portal Vein Obstruction ◽  
Chiari Syndrome ◽  
Outflow System

Closures in the splanchnic venous system (SVS) represent a broad medical problem. Anatomically, individual or even multiple sections of SVS may be affected at the same time. Main sections of SVS include the venous liver outflow system, the portal vein, and the upper mesenteric vein and its basin. Thrombosis is clearly the predominant cause of closure. The closures can present as acute, subacute, chronic occult or chronic manifest. The main pathological and anatomical units are the Budd-Chiari syndrome (BCS), extrahepatic portal vein obstruction (EHPVO) and mesenteric vein thrombosis (MVT). Advanced laboratory, imaging and intervention methods substantially modify the approach to prevention, diagnosis and treatment; surgical approach also plays a role. The problem of SVS closures is interdisciplinary.

scholarly journals Value of preoperative computed tomography for meso-Rex bypass in children with extrahepatic portal vein obstruction

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Huiying Wu ◽  
Ning Zhou ◽  
Lianwei Lu ◽  
Xiwen Chen ◽  
Tao Liu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Portal Vein ◽  
Predictive Value ◽  
Extrahepatic Portal Vein Obstruction ◽  
Portal Vein Obstruction ◽  
Left Portal Vein ◽  
History Of ◽  
Associated Malformations ◽  
Sensitivity Specificity

Abstract Background Extrahepatic portal vein obstruction (EHPVO) is the most important cause of hematemesis in children. Intrahepatic left portal vein and superior mesenteric vein anastomosis, also known as meso-Rex bypass (MRB), is becoming the gold standard treatment for EHPVO. We analyzed the value of preoperative computed tomography (CT) in determining whether MRB is feasible in children with EHPVO. Results We retrieved data on 76 children with EHPVO (50 male, 26 female; median age, 5.9 years) who underwent MRB (n = 68) or the Warren procedure (n = 8) from 2013 to 2019 and retrospectively analyzed their clinical and CT characteristics. The Rex recess was categorized into four subtypes (types 1–4) depending on its diameter in CT images. Of all 76 children, 7.9% had a history of umbilical catheterization and 1.3% had leukemia. Sixteen patients (20 lesions) had associated malformations. A total of 72.4% of Rex recesses could be measured by CT, and their mean diameter was 3.5 ± 1.8 mm (range 0.6–10.5 mm). A type 1, 2, 3, and 4 Rex recess was present in 9.2%, 53.9%, 11.8%, and 25.0% of patients, respectively. MRB could be performed in patients with types 1, 2, and 3, but those with type 4 required further evaluation. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of CT were 100%, 83.8%, 42.1%, 100%, and 85.5%, respectively. Conclusions Among the four types of Rex recesses on CT angiography, types 1–3 allow for the performance of MRB.

Well-tolerated portal hypertension and favorable prognosis in adult patients with extrahepatic portal vein obstruction in Japan

2015 ◽  
Vol 46 (6) ◽  
pp. 505-513 ◽  
Author(s):  
Tadashi Sekimoto ◽  
Hitoshi Maruyama ◽  
Kazufumi Kobayashi ◽  
Soichiro Kiyono ◽  
Takayuki Kondo ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Adult Patients ◽  
Extrahepatic Portal Vein Obstruction ◽  
Favorable Prognosis ◽  
Portal Vein Obstruction
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