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Surgical guidelines for the management of extra-hepatic portal vein obstruction

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Superina, Riccardo Shneider, Benjamin Emre, Sukru Sarin, Shiv de Ville de Goyet, Jean [UCL]

The recent introduction of the meso Rex bypass raises a possible paradigm shift in the therapeutic approach to extra-hepatic portal vein obstruction (EHPVO). Long-term follow-up of patients with EHPVO has revealed a variety of complications including variceal hemorrhage, hypersplenism, biliopathy, growth/development retardation and neuropsychiatric disease. The meso Rex bypass restores physiologic blood flow to the liver. Thus, when feasible, the meso Rex bypass should be considered in patients with clinically significant manifestations of EHPVO. The opinions of a panel of experts regarding the surgical approach to the management of EHPVO are presented.

Document type Article de périodique (Journal article) – Éditorial
Access type Accès restreint
Publication date 2006
Language Anglais
Journal information "Pediatric Transplantation" - Vol. 10, no. 8, p. 908-913 (2006)
Peer reviewed yes
Publisher Blackwell Publishing (Oxford)
issn 1397-3142
e-issn 1399-3046
Publication status Publié
Affiliations UCL - (SLuc) Service de chirurgie et transplantation abdominale
UCL - MD/CHIR - Département de chirurgie
Keywords portal hypertension ; shunt ; hypersplenism ; varices ; encephalopathy
Links
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Bibliographic reference Superina, Riccardo ; Shneider, Benjamin ; Emre, Sukru ; Sarin, Shiv ; de Ville de Goyet, Jean. Surgical guidelines for the management of extra-hepatic portal vein obstruction. In: Pediatric Transplantation, Vol. 10, no. 8, p. 908-913 (2006)
Permanent URL http://hdl.handle.net/2078.1/38174