Query Julie A, Sandler Anthony D, Sharp William J
Department of Surgery, Roy J. and Lucille A Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
J Pediatr Surg. 2007 Jun;42(6):1137-40. doi: 10.1016/j.jpedsurg.2007.01.066.
The authors describe a case of extrahepatic portal vein (EHPV) thrombosis and portal hypertension treated with a variant of mesenterico-left portal vein bypass (MLPVB) or Rex shunt. In this case, a segment of autogenous greater saphenous vein was used to bridge the distance between the left gastric vein inflow and the left portal vein. Use of such nontraditional conduit in similar circumstances may expand the application of portal revascularization/decompression procedures in treating these patients.
作者描述了一例采用肠系膜左门静脉分流术（MLPVB）或雷克斯分流术变体治疗肝外门静脉（EHPV）血栓形成和门静脉高压的病例。在该病例中，使用一段自体大隐静脉来连接胃左静脉流入端与门静脉左支之间的距离。在类似情况下使用这种非传统导管可能会扩大门静脉血运重建/减压手术在治疗这些患者中的应用。
