Effectiveness of Rex shunt in children with portal hypertension following liver transplantation or with primary portal hypertension

• DOI: 10.1111/j.1399-3046.2008.01109.x
• Publication Date: 2009-02-09T00:56:19Z
• Authors: D. Krebs‐Schmitt; A. Briem‐Richter; E. Grabhorn; M. Burdelski; K. Helmke; D. C. Broering; R. Ganschow
• Keywords: Portosystemic shunt; Portal vein thrombosis; Jugular vein

Portal vein thrombosis can occur as a result of primary anomalies, after liver transplantation, and for other reasons. It may in severe complications secondary to portal hypertension, such bleeding from esophageal or gastric varices, hypersplenism, impaired somatic growth. In this retrospective study, we analyzed the outcome 25 children who underwent Rex shunt procedure. The following venous grafts were used shunt: autologous internal external jugular (n = 17) cryopreserved graft 5); three patients umbilical was recanalized. median follow up time 109 months (range 18 days-146 months). best results achieved whom an segment vascular (shunt patency 88%). with functioning no further lower upper gastrointestinal occurred. And entire study population hypersplenism syndrome improved surgery. our large cohort pediatric patients, has shown be effective method eliminate hypertension revascularize thereby prevents possible consequences long-term portosystemic shunting.