Rex Shunt for Extra-Hepatic Portal Venous Obstruction in Children

被引:8
|
作者
Zhang, Jinshan [1 ]
Li, Long [1 ]
机构
[1] Capital Inst Pediat, Dept Gen Surg, Beijing 100020, Peoples R China
来源
CHILDREN-BASEL | 2022年 / 9卷 / 02期
基金
中国国家自然科学基金;
关键词
extra-hepatic portal venous obstruction; portal hypertension; Rex shunt; children; treatment; VEIN OBSTRUCTION; PORTOSYSTEMIC SHUNTS; MESOPORTAL BYPASS; SAPHENOUS-VEIN; HYPERTENSION; MANAGEMENT; SPLENECTOMY; THROMBOSIS; EXPERIENCE; DIAGNOSIS;
D O I
10.3390/children9020297
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Rex shunt, which was first put in use in 1992, has been considered as an ideal surgical method for the treatment of extra-hepatic portal venous obstruction (EHPVO) due to its reconstruction of the hepatopetal portal blood flow. However, despite its long tradition, there are only a few reports about the application and advances in Rex shunt for the treatment of EHPVO in children. In this paper, we summarized the literature related to Rex shunt and discussed the new advances of Rex shunt in the following aspects: surgical method of Rex shunt, the indications of Rex shunt, the strengths of Rex shunt, the effectiveness of Rex shunt, factors affecting the efficacy of Rex shunt, methods that improve the prognosis of Rex shunt, and treatment strategy for recurrence after Rex shunt.
引用
收藏
页数:12
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