de Ville de Goyet J, Alberti D, Falchetti D, Rigamonti W, Matricardi L, Clapuyt P, Sokal E M, Otte J B, Caccia G
Liver Unit, Birmingham Children's Hospital, UK.
Eur J Surg. 1999 Aug;165(8):777-81. doi: 10.1080/11024159950189573.
To achieve hepatic portal revascularisation and decompression of extrahepatic portal hypertension in children with cavernoma and obstruction caused by idiopathic portal vein thrombosis.
Selected cases.
Teaching hospitals. Belgium and Italy.
11 children who weighed between 5.9 and 54 kg (2 emergencies) with symptomatic extrahepatic portal hypertension.
Interposition of venous autograft between the superior mesenteric vein and the distal (umbilical) portion of the left portal vein.
Improvements in symptoms and endoscopic appearance after operation.
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).
The bypass effectively relieved symptoms of extrahepatic portal hypertension by restoring normal hepatic portal blood flow.
实现肝门血管重建，并缓解患有海绵状血管瘤以及由特发性门静脉血栓形成导致阻塞的儿童肝外门静脉高压。
选定病例。
比利时和意大利的教学医院。
11名体重在5.9至54千克之间的儿童（2例为急诊），患有症状性肝外门静脉高压。
在肠系膜上静脉与左门静脉远端（脐部）之间置入自体静脉移植血管。
术后症状及内镜表现的改善情况。
2条旁路因狭窄而不得不重新进行手术；在撰写本文时，所有11条旁路均通畅（中位随访时间6个月，范围1至32个月）。
该旁路通过恢复正常的肝门血流，有效缓解了肝外门静脉高压的症状。
