Tags

Type your tag names separated by a space and hit enter

Treatment of extrahepatic portal hypertension in children by mesenteric-to-left portal vein bypass: a new physiological procedure.
Eur J Surg. 1999 Aug; 165(8):777-81.EJ

Abstract

OBJECTIVE

To achieve hepatic portal revascularisation and decompression of extrahepatic portal hypertension in children with cavernoma and obstruction caused by idiopathic portal vein thrombosis.

DESIGN

Selected cases.

SETTING

Teaching hospitals. Belgium and Italy.

SUBJECTS

11 children who weighed between 5.9 and 54 kg (2 emergencies) with symptomatic extrahepatic portal hypertension.

INTERVENTION

Interposition of venous autograft between the superior mesenteric vein and the distal (umbilical) portion of the left portal vein.

MAIN OUTCOME MEASURES

Improvements in symptoms and endoscopic appearance after operation.

RESULTS

2 bypasses had to be redone because they stenosed; all 11 were patent at the time of writing (median follow-up 6 months, range 1-32 months).

CONCLUSION

The bypass effectively relieved symptoms of extrahepatic portal hypertension by restoring normal hepatic portal blood flow.

Authors+Show Affiliations

de Ville de Goyet J
Liver Unit, Birmingham Children's Hospital, UK.
Alberti D
No affiliation info available
Falchetti D
No affiliation info available
Rigamonti W
No affiliation info available
Matricardi L
No affiliation info available
Clapuyt P
No affiliation info available
Sokal EM
No affiliation info available
Otte JB
No affiliation info available
Caccia G
No affiliation info available

MeSH

AdolescentAnastomosis, SurgicalChildChild, PreschoolEsophageal and Gastric VaricesFollow-Up StudiesGastrointestinal HemorrhageHumansHypertension, PortalInfantJugular VeinsMesenteric VeinsPortal VeinTransplantation, AutologousTreatment Outcome

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

10494645

Citation

de Ville de Goyet, J, et al. "Treatment of Extrahepatic Portal Hypertension in Children By Mesenteric-to-left Portal Vein Bypass: a New Physiological Procedure." The European Journal of Surgery = Acta Chirurgica, vol. 165, no. 8, 1999, pp. 777-81.
de Ville de Goyet J, Alberti D, Falchetti D, et al. Treatment of extrahepatic portal hypertension in children by mesenteric-to-left portal vein bypass: a new physiological procedure. Eur J Surg. 1999;165(8):777-81.
de Ville de Goyet, J., Alberti, D., Falchetti, D., Rigamonti, W., Matricardi, L., Clapuyt, P., Sokal, E. M., Otte, J. B., & Caccia, G. (1999). Treatment of extrahepatic portal hypertension in children by mesenteric-to-left portal vein bypass: a new physiological procedure. The European Journal of Surgery = Acta Chirurgica, 165(8), 777-81.
de Ville de Goyet J, et al. Treatment of Extrahepatic Portal Hypertension in Children By Mesenteric-to-left Portal Vein Bypass: a New Physiological Procedure. Eur J Surg. 1999;165(8):777-81. PubMed PMID: 10494645.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of extrahepatic portal hypertension in children by mesenteric-to-left portal vein bypass: a new physiological procedure. AU - de Ville de Goyet,J, AU - Alberti,D, AU - Falchetti,D, AU - Rigamonti,W, AU - Matricardi,L, AU - Clapuyt,P, AU - Sokal,E M, AU - Otte,J B, AU - Caccia,G, PY - 1999/9/24/pubmed PY - 1999/9/24/medline PY - 1999/9/24/entrez SP - 777 EP - 81 JF - The European journal of surgery = Acta chirurgica JO - Eur J Surg VL - 165 IS - 8 N2 - OBJECTIVE: To achieve hepatic portal revascularisation and decompression of extrahepatic portal hypertension in children with cavernoma and obstruction caused by idiopathic portal vein thrombosis. DESIGN: Selected cases. SETTING: Teaching hospitals. Belgium and Italy. SUBJECTS: 11 children who weighed between 5.9 and 54 kg (2 emergencies) with symptomatic extrahepatic portal hypertension. INTERVENTION: Interposition of venous autograft between the superior mesenteric vein and the distal (umbilical) portion of the left portal vein. MAIN OUTCOME MEASURES: Improvements in symptoms and endoscopic appearance after operation. RESULTS: 2 bypasses had to be redone because they stenosed; all 11 were patent at the time of writing (median follow-up 6 months, range 1-32 months). CONCLUSION: The bypass effectively relieved symptoms of extrahepatic portal hypertension by restoring normal hepatic portal blood flow. SN - 1102-4151 UR - https://www.unboundmedicine.com/medline/citation/10494645/Treatment_of_extrahepatic_portal_hypertension_in_children_by_mesenteric_to_left_portal_vein_bypass:_a_new_physiological_procedure_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -