Vasc Spec Int.
2023 Sep;39(3):22. 10.5758/vsi.230053.
Ectopic Variceal Bleeding from the Hepaticojejunostomy due to Extrahepatic Portal Vein Occlusion: How to Treat?
- Affiliations
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- 1Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
- KMID: 2546636
- DOI: http://doi.org/10.5758/vsi.230053
Abstract
- Atypical variceal bleeding, which primarily stems from extrahepatic portal vein obstruction (EHPVO), is a severe complication of pancreatic hepatobiliary surgery. This review provides insights into this condition’s incidence, diagnosis, and management strategies. The treatment modalities for atypical variceal bleeding resulting from EHPVO range from endoscopic intervention to surgical procedures, including direct variceal ligation and shunt surgery. Here, we discuss the efficacy and potential limitations of each treatment approach. Additionally, we explored the utility and therapeutic advantages of the meso-Rex shunt, a particularly promising surgical technique for mitigating the hemodynamic and metabolic impacts of EHPVO.
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