Variation of the Rex shunt for treating concurrent obstruction of the portal and superior mesenteric veins

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Data
2011-10-01
Autores
Salzedas-Netto, Alcides Augusto [UNIFESP]
Barros Duarte, Alexandre Alberto [UNIFESP]
Linhares, Marcelo Moura [UNIFESP]
Mattar, Regina Helena [UNIFESP]
Medeiros, Karina Lucio [UNIFESP]
Cury, Edson Khodor [UNIFESP]
Lopes Filho, Gaspar de Jesus [UNIFESP]
Gonzalez, Adriano Miziara [UNIFESP]
Martins, Jose Luiz [UNIFESP]
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Resumo
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. (C) 2011 Elsevier Inc. All rights reserved.
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Journal of Pediatric Surgery. Philadelphia: W B Saunders Co-Elsevier Inc, v. 46, n. 10, p. 2018-2020, 2011.
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