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  • Title: Variation of the Rex shunt for treating concurrent obstruction of the portal and superior mesenteric veins.
    Author: Salzedas-Netto AA, Duarte AA, Linhares MM, Mattar RH, Medeiros KL, Cury EK, Filho Gde J, Gonzalez AM, Martins JL.
    Journal: J Pediatr Surg; 2011 Oct; 46(10):2018-20. PubMed ID: 22008343.
    Abstract:
    Children with extrahepatic portal vein obstruction can be managed successfully by surgical intervention and should be evaluated for potential meso-Rex bypass. A Rex shunt variation is described to treat portal and superior mesenteric vein thrombosis. This technique uses the internal jugular vein as a conduit between the splenic vein and the left portal vein with splenic preservation.
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