دورية أكاديمية
Technical Aspects and Considerations of Meso-Rex Bypass Following Liver Transplantation With Left Lateral Segment Grafts: Case Report and Review of the Literature
| العنوان: | Technical Aspects and Considerations of Meso-Rex Bypass Following Liver Transplantation With Left Lateral Segment Grafts: Case Report and Review of the Literature |
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| المؤلفون: | Christina Dalzell, Paola A. Vargas, Kyle Soltys, Frank Di Paola, George Mazariegos, Nicolas Goldaracena |
| المصدر: | Frontiers in Pediatrics, Vol 10 (2022) |
| بيانات النشر: | Frontiers Media S.A., 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Pediatrics |
| مصطلحات موضوعية: | extrahepatic portal vein obstruction (EHPVO), living donor liver transplant (LDLT), left lateral segment graft, meso-Rex bypass, pediatric surgery, Pediatrics, RJ1-570 |
| الوصف: | In pediatric patients with extrahepatic portal vein obstruction and complications of portal hypertension, but with normal liver function, a meso-Rex bypass (MRB) connecting the superior mesenteric vein to the intrahepatic left portal is the favored surgical management. Pediatric patients with a history of a partial liver transplant (LT), especially living donors, are at greater risk for portal vein complications. Hence, an adequate knowledge of this technique and its additional challenges in the post-LT patient setting is crucial. We provide an overview of the available literature on technical aspects for an MRB post-LT. Preoperative considerations are highlighted, along with intraoperative considerations and postoperative management. Special attention is given to the even-more-demanding aspect of performing an MRB post-liver transplantation with a left lateral segment. Surgical alternatives are also discussed. In addition, we report here a unique case in which this surgical technique was performed on a complex pediatric patient with a history of a living-donor LT with a left lateral segment graft over a decade ago. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2296-2360 52215415 |
| العلاقة: | https://www.frontiersin.org/articles/10.3389/fped.2022.868582/fullTest; https://doaj.org/toc/2296-2360Test |
| DOI: | 10.3389/fped.2022.868582 |
| الوصول الحر: | https://doaj.org/article/c0ee52215415486381e17e90398013dcTest |
| رقم الانضمام: | edsdoj.0ee52215415486381e17e90398013dc |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22962360 52215415 |
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| DOI: | 10.3389/fped.2022.868582 |