Gastroportal shunt for portal hypertension in children

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Presentation transcript:

Gastroportal shunt for portal hypertension in children Jin-Shan Zhang, Long Li, Shu-Li Liu, Wei Cheng, Mei Diao, Wen-Ying Hou, Jun Zhang, Sheng-Li Li, Yao Liu, Hai-Bin Wang, An-Xiao Ming  Journal of Pediatric Surgery  Volume 47, Issue 1, Pages 253-257 (January 2012) DOI: 10.1016/j.jpedsurg.2011.09.058 Copyright © 2012 Elsevier Inc. Terms and Conditions

Fig. 1 Venous phase of a selective superior mesenteric angiogram in a patient with extrahepatic portal hypertension. Preshunt (A) and postshunt (B). Journal of Pediatric Surgery 2012 47, 253-257DOI: (10.1016/j.jpedsurg.2011.09.058) Copyright © 2012 Elsevier Inc. Terms and Conditions

Fig. 2 A, The portography by inserting a catheter into the recanalized umbilical vein. B, The intrahepatic angiogram before shunting, which showed the stenosis at the origin of left portal vein. Journal of Pediatric Surgery 2012 47, 253-257DOI: (10.1016/j.jpedsurg.2011.09.058) Copyright © 2012 Elsevier Inc. Terms and Conditions

Fig. 3 The procedure of gastroportal shunt. Preshunt (A), postshunt (B), and left gastric vein lengthened by a graft vein (C). Journal of Pediatric Surgery 2012 47, 253-257DOI: (10.1016/j.jpedsurg.2011.09.058) Copyright © 2012 Elsevier Inc. Terms and Conditions

Fig. 4 The left gastric vein was anastomosed to the left portal vein. Journal of Pediatric Surgery 2012 47, 253-257DOI: (10.1016/j.jpedsurg.2011.09.058) Copyright © 2012 Elsevier Inc. Terms and Conditions

Fig. 5 The 15-month postoperative computed tomographic scan in the same patient as in Fig. 1. Journal of Pediatric Surgery 2012 47, 253-257DOI: (10.1016/j.jpedsurg.2011.09.058) Copyright © 2012 Elsevier Inc. Terms and Conditions