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Rex 分流术治疗门静脉和肠系膜上静脉同时阻塞的变异型。

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

机构信息

Rua dos Otonis, 899, 04025-002 Federal University of São Paulo, São Paulo, SP, Brazil.

出版信息

J Pediatr Surg. 2011 Oct;46(10):2018-20. doi: 10.1016/j.jpedsurg.2011.07.002.

DOI:10.1016/j.jpedsurg.2011.07.002
PMID:22008343
Abstract

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.

摘要

肝外门静脉阻塞的儿童可以通过手术干预成功治疗,并且应该评估是否存在潜在的间置肠系膜上静脉 REX 旁路。本文描述了一种 REX 分流术变异,用于治疗门静脉和肠系膜上静脉血栓形成。该技术使用颈内静脉作为脾静脉和左门静脉之间的导管,同时保留脾脏。

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Variation of the Rex shunt for treating concurrent obstruction of the portal and superior mesenteric veins.Rex 分流术治疗门静脉和肠系膜上静脉同时阻塞的变异型。
J Pediatr Surg. 2011 Oct;46(10):2018-20. doi: 10.1016/j.jpedsurg.2011.07.002.
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Experience with alternate sources of venous inflow in the meso-Rex bypass operation: the coronary and splenic veins.中肝门-雷克斯分流术(Meso-Rex bypass operation)中静脉流入替代来源的经验:冠状动脉和脾静脉。
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J Indian Assoc Pediatr Surg. 2025 May-Jun;30(3):351-355. doi: 10.4103/jiaps.jiaps_305_24. Epub 2025 Mar 3.
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Rex Shunt for Extra-Hepatic Portal Venous Obstruction in Children.儿童肝外门静脉阻塞的雷克斯分流术
Children (Basel). 2022 Feb 21;9(2):297. doi: 10.3390/children9020297.
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A rare case of bleeding duodenal varices from superior mesenteric vein obstruction -treated with transhepatic recanalization and stent placement.
一例罕见的因肠系膜上静脉阻塞导致十二指肠静脉曲张出血——经肝再通和支架置入治疗。
Indian J Radiol Imaging. 2019 Jul-Sep;29(3):313-317. doi: 10.4103/ijri.IJRI_21_19. Epub 2019 Oct 30.
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Case report of a modified Meso-Rex bypass as a treatment technique for late-onset portal vein cavernous transformation with portal hypertension after adult deceased-donor liver transplantation.改良式Meso-Rex分流术治疗成人尸体供肝肝移植术后迟发性门静脉海绵样变伴门静脉高压的病例报告
Medicine (Baltimore). 2017 Jun;96(25):e7208. doi: 10.1097/MD.0000000000007208.
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Variant meso-Rex bypass with transposition of abdominal autogenous vein for the management of idiopathic extrahepatic portal vein obstruction: a retrospective observational study.采用自体腹壁静脉转位的改良中间型雷克斯分流术治疗特发性肝外门静脉阻塞:一项回顾性观察研究
BMC Surg. 2015 Oct 17;15:116. doi: 10.1186/s12893-015-0101-6.
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Partial splenectomy and use of splenic vein as an autograft for meso-Rex bypass: a clinical observational study.部分脾切除术及使用脾静脉作为自体移植物进行肠系膜上静脉-雷克斯静脉分流术:一项临床观察性研究。
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