Portal decompression by interposition mesocaval shunt in patients with biliary atresia
| Autor: | R.Peter Altman |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Male
medicine.medical_specialty Decompression Vena Cava Inferior Transplantation Autologous Mesenteric Veins Esophageal varices Biliary atresia Jugular vein Hypertension Portal Methods medicine Humans In patient Child Porta hepatis business.industry Infant General Medicine medicine.disease Surgery Shunt (medical) medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Portal hypertension Female Bile Ducts Radiology Jugular Veins business |
| Zdroj: | Journal of Pediatric Surgery. 11:809-814 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/0022-3468(76)90107-x |
| Popis: | Surgical correction of portal hypertension in infants and children has often been frustrated by limitations imposed by the diminutive vessel size. During the past 18 mo, five patients from 1 to 7 yr of age and weighing between 9 and 19 kg, have required portal decompression for bleeding from esophageal varices. In two patients, a previous dissection in the area of the porta hepatis imposed a further technical obstacle. Both of these patients had biliary atresia and one had undergone a successful portoenterostomy (Kasai). 1 Success of the interposition mesocaval graft in adult patients led us to adopt this procedure in our five patients. Autogenous jugular vein was utilized for construction of the shunt in the smaller patients. Radiographic confirmation of shunt patency has been obtained 1 yr postoperatively. |
| Databáze: | OpenAIRE |
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