Rua dos Otonis, 899, 04025-002 Federal University of São Paulo, São Paulo, SP, Brazil.
J Pediatr Surg. 2011 Oct;46(10):2018-20. doi: 10.1016/j.jpedsurg.2011.07.002.
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.
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。