当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS期刊下所有文献 > Advantages of the meso-Rex bypass compared with portosystemic shunts in the management of extrahepatic portal vein obstruction in children.

Advantages of the meso-Rex bypass compared with portosystemic shunts in the management of extrahepatic portal vein obstruction in children.

Abstract：

BACKGROUND:Consequences of extrahepatic portal vein obstruction (EHPVO) include variceal bleeding and hypersplenism due to portal hypertension, as well as metabolic abnormalities secondary to impaired portal venous circulation. The purpose of this study was to compare the effectiveness of meso-Rex bypass and portosystemic shunt (PSS) for reversing these symptoms in children with EHPVO. STUDY DESIGN:All children with idiopathic EHPVO evaluated for potential meso-Rex bypass at a single institution between 1997 and 2010 were reviewed. Portosystemic shunt was performed in patients with refractory portal hypertension when meso-Rex bypass was not technically feasible. Outcomes of meso-Rex bypass and PSS were compared, including resolution of portal hypertensive bleeding and hypersplenism, as well as changes in liver synthetic function, ammonia levels, and somatic growth. RESULTS:Sixty-five children with EHPVO underwent successful meso-Rex bypass, while 16 required PSS. Nearly all patients experienced complete relief of variceal bleeding after meso-Rex (96%) bypass and PSS (100%). The improvements in platelet count (+82.1 ± 60.0 vs +32.4 ± 56.3 thousand/μL; p=0.004), internal normalized ratio (-0.22 ± 0.27 vs 0.01 ± 0.14; p=0.022), and serum ammonia level (-26.8 ± 36.8 vs +19.4 ± 33.1 μM/L; p=0.002) were greater after meso-Rex bypass than PSS. Among patients with below average (standard deviation z-score<0) preoperative weight for age, the improvement in weight-for-age z-score was greater after meso-Rex bypass (+0.84 ± 0.98) than PSS (+0.17 ± 0.79, p=0.044). Median duration of follow-up was 4.45 years after meso-Rex bypass and 1.8 years after PSS. CONCLUSIONS:Both meso-Rex bypass and PSS effectively relieve symptoms of portal hypertensive bleeding in children with EHPVO, although the meso-Rex better relieves hypersplenism. By restoring normal portal venous circulation, the meso-Rex bypass has additional metabolic benefits.

journal_name

J Am Coll Surg

journal_title

Journal of the American College of Surgeons

authors

Lautz TB,Keys LA,Melvin JC,Ito J,Superina RA

doi

10.1016/j.jamcollsurg.2012.09.013

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

83-9

issue

1

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(12)01206-9

journal_volume

216

pub_type

杂志文章

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS文献大全
  • The utility of venous lactate to triage injured patients in the trauma center.

    abstract：BACKGROUND:Field triage criteria for trauma patients results in over-triage rates of 30% to 50% to achieve under-triage rates of 10%. This large number of patients may stress trauma center resources. Elevated arterial lactate (ALAC) levels have been shown to be a marker of serious injury but the need for arterial sampl...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(00)00271-4

    authors： Lavery RF,Livingston DH,Tortella BJ,Sambol JT,Slomovitz BM,Siegel JH

    更新日期：2000-06-01 00:00:00

  • Transforming growth factor-alpha: a surrogate endpoint biomarker?

    abstract：BACKGROUND:Dysplastic oral leukoplakia (DOL) has been the index lesion in prevention trials for upper aerodigestive tract squamous cell carcinoma (SCC). Vitamin A derivatives, including 13-cis retinoic acid (13-CRA), have been used to treat DOL and to reduce the risk of subsequent SCC. Results from a trial of 13-CRA in...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s1072-7515(02)01219-x

    authors： Beenken SW,Hockett R Jr,Grizzle W,Weiss HL,Pickens A,Perloff M,Malone WF,Bland KI

    更新日期：2002-08-01 00:00:00

  • Quantification of duodenogastric reflux in patients with choledochoduodenostomy.

    abstract：BACKGROUND:Frequently, patients present with symptoms after cholecystectomy (pain or discomfort in the upper part of the abdomen, postprandial fullness, bile vomiting, among others). Duodenogastric reflux has been associated with these symptoms in some patients. Therefore, this study was done to investigate this relati...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Lujan-Mompean JA,Torralba-Martinez JA,Parrilla-Paricio P,Robles-Campos R,Liron-Ruiz R,Ramirez-Romero P

    更新日期：1994-08-01 00:00:00

  • Fifteen-year experience in axillofemoral bypass with externally supported knitted Dacron prosthesis in a Japanese hospital.

    abstract：BACKGROUND:Recently, several reports in the United States have demonstrated remarkable improvement in the patency of axillofemoral (AXF) bypass with an externally supported prosthesis. The purpose of this study was to review the prognoses regarding graft patency, limb salvage, and survival of patients who underwent AXF...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(98)00084-2

    authors： Mii S,Mori A,Sakata H,Kawazoe N

    更新日期：1998-05-01 00:00:00

  • Locoregional recurrences are frequent after radiofrequency ablation for hepatocellular carcinoma.

    abstract：BACKGROUND:Enthusiasm for radiofrequency ablation (RFA) therapy for patients with unresectable hepatocellular carcinoma (HCC) has increased. The data for recurrence after RFA for patients with HCC is not well documented. The purpose of this study was to evaluate tumor recurrence patterns after RFA in patients with unre...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/S1072-7515(03)00750-6

    authors： Harrison LE,Koneru B,Baramipour P,Fisher A,Barone A,Wilson D,Dela Torre A,Cho KC,Contractor D,Korogodsky M

    更新日期：2003-11-01 00:00:00

  • Metabolic syndrome predicts restenosis after carotid endarterectomy.

    abstract：BACKGROUND:Carotid endarterectomy (CEA) is an effective surgical option for stroke prophylaxis for most patients. Restenosis after CEA can lead to additional interventions and adverse outcomes, but the factors that predict restenosis are poorly understood. This study examined which risk factors, such as metabolic syndr...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.04.014

    authors： Williams WT,Assi R,Hall MR,Protack CD,Lu DY,Wong DJ,Vasilas P,Dardik A

    更新日期：2014-10-01 00:00:00

  • Secondary aortoenteric fistulas versus paraprosthetic erosions: is bleeding associated with a worse outcome?

    abstract：BACKGROUND:Direct communication between an aortic prosthesis and the gastrointestinal (GI) tract may present with GI bleeding (aortoenteric fistulas [AEF]) or be incidental to a graft infection (paraprosthetic erosions [PPE]). The purposes of this study were to compare the outcomes of AEF versus PPE and to determine pr...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2008.08.010

    authors： Valentine RJ,Timaran CH,Modrall GJ,Smith ST,Arko FR,Clagett GP

    更新日期：2008-12-01 00:00:00

  • Who are our future surgeons? Characteristics of medical school graduates planning surgical careers: analysis of the 1997 to 2004 Association of American Medical Colleges' Graduation Questionnaire National Database.

    abstract：BACKGROUND:Identification of correlates of contemporary US medical graduates' surgical career plans can provide insights about the emerging surgical workforce composition and inform future recruitment efforts. STUDY DESIGN:We analyzed individualized records of 95,176 graduates who completed the 1997 to 2004 Associatio...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2006.04.026

    authors： Andriole DA,Klingensmith ME,Jeffe DB

    更新日期：2006-08-01 00:00:00

  • The role of platelet-derived growth factor in intraluminal stented graft healing.

    abstract：BACKGROUND:Intraluminally placed polytetrafluoroethylene grafts are associated with enhanced graft endothelialization and diminished intimal hyperplasia when compared with interposition grafts. This study determined the role of platelet-derived growth factor in intraluminal graft healing. STUDY DESIGN:Thirty dogs unde...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Ombrellaro MP,Stevens SL,Schaeffer DO,Freeman MB,Sciarrotta J,Carroll R,Goldman MH

    更新日期：1997-01-01 00:00:00

  • Impact of the New Kidney Allocation System on Perioperative Outcomes and Costs in Kidney Transplantation.

    abstract：BACKGROUND:In December 2014, a new kidney allocation system (KAS) was implemented nationwide with the goal of improving longevity matching, increasing access to sensitized patients, and improving racial/ethnic disparities. STUDY DESIGN:National cohort study of US kidney transplantation programs, analyzing hospital-lev...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2016.12.009

    authors： Taber DJ,DuBay D,McGillicuddy JW,Nadig S,Bratton CF,Chavin KD,Baliga PK

    更新日期：2017-04-01 00:00:00

  • Reduction in Venous Thromboembolism Events: Trauma Performance Improvement and Loop Closure Through Participation in a State-Wide Quality Collaborative.

    abstract：BACKGROUND:The Michigan Trauma Quality Improvement Program (MTQIP) is a collaborative quality initiative sponsored by Blue Cross Blue Shield of Michigan and Blue Care Network (BCBSM/BCN). The MTQIP benchmark reports identified our trauma center as a high outlier for venous thromboembolism (VTE) episodes. This study out...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.05.006

    authors： Machado-Aranda DA,Jakubus JL,Wahl WL,Cherry-Bukowiec JR,To KB,Park PK,Raghavendran K,Napolitano LM,Hemmila MR

    更新日期：2015-09-01 00:00:00

  • What Are the Most Significant Cost and Value Drivers for Pancreatic Resection in an Integrated Healthcare System?

    abstract：BACKGROUND:An initiative was established to improve value-based care for pancreatic surgery in a large nonprofit health system. Cost data were presented bimonthly to a hepatobiliary clinical performance group via videoconference. STUDY DESIGN:The direct costs were calculated for all patients undergoing distal pancreat...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2018.02.015

    authors： Vuong B,Dehal A,Uppal A,Stern SL,Mejia J,Weerasinghe R,Kapoor V,Ong E,Hansen PD,Bilchik AJ

    更新日期：2018-07-01 00:00:00

  • Preoperative esophageal cancer staging: magnetic resonance imaging of lymph node with ferumoxtran-10, an ultrasmall superparamagnetic iron oxide.

    abstract：BACKGROUND:Accurate detection of metastasis to lymph nodes is an essential component of the approach to treatment. The purpose of this study was to evaluate the utility of magnetic resonance imaging with ferumoxtran-10 in diagnosing lymph node metastasis in esophageal cancer. STUDY DESIGN:Sixteen patients with esophag...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2005.12.004

    authors： Nishimura H,Tanigawa N,Hiramatsu M,Tatsumi Y,Matsuki M,Narabayashi I

    更新日期：2006-04-01 00:00:00

  • Three years clinical experience with intestinal transplantation.

    abstract：BACKGROUND:After the successful evolution of hepatic transplantation during the last decade, small bowel and multivisceral transplantation remains the sole elusive achievement for the next era of transplant surgeons. Until recently, and for the last thirty years, the results of the sporadic attempts of intestinal trans...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Abu-Elmagd K,Todo S,Tzakis A,Reyes J,Nour B,Furukawa H,Fung JJ,Demetris A,Starzl TE

    更新日期：1994-10-01 00:00:00

  • A single parathyroid hormone level obtained 4 hours after total thyroidectomy predicts the need for postoperative calcium supplementation.

    abstract：BACKGROUND:Parathyroid hormone (PTH) levels after total thyroidectomy have been shown to predict the development of symptomatic hypocalcemia and the need for calcium supplementation. This study aimed to determine whether a PTH level drawn 4 hours postoperatively is as effective as a level drawn on postoperative day 1 (...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.06.003

    authors： Carr AA,Yen TW,Fareau GG,Cayo AK,Misustin SM,Evans DB,Wang TS

    更新日期：2014-10-01 00:00:00

  • Are procedures codes in claims data a reliable indicator of intraoperative splenic injury compared with clinical registry data?

    abstract：BACKGROUND:Identifying iatrogenic injuries using existing data sources is important for improved transparency in the occurrence of intraoperative events. There is evidence that procedure codes are reliably recorded in claims data. The objective of this study was to assess whether concurrent splenic procedure codes in p...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.02.029

    authors： Stey AM,Ko CY,Hall BL,Louie R,Lawson EH,Gibbons MM,Zingmond DS,Russell MM

    更新日期：2014-08-01 00:00:00

  • Telemedicine: a solution to the followup of rural trauma patients?

    abstract：BACKGROUND:Outpatient followup of rural trauma patients is problematic for physicians and patients. Our hypothesis was that telemedicine-based followup of trauma patients discharged to remote areas is feasible and is associated with high patient and physician satisfaction. STUDY DESIGN:We chose 11 counties in Kentucky...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(01)00796-7

    authors： Boulanger B,Kearney P,Ochoa J,Tsuei B,Sands F

    更新日期：2001-04-01 00:00:00

  • Comparison of treatments for hepatolithiasis: hepatic resection versus cholangioscopic lithotomy.

    abstract：BACKGROUND:Hepatic resection and percutaneous transhepatic cholangioscopic lithotomy (PTCSL) are the two main approaches to the treatment of hepatolithiasis, but comparisons of longterm followup results have not been adequately reported. STUDY DESIGN:Of 86 patients with hepatolithiasis admitted to our institution betw...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(99)00109-x

    authors： Otani K,Shimizu S,Chijiiwa K,Ogawa T,Morisaki T,Sugitani A,Yamaguchi K,Tanaka M

    更新日期：1999-08-01 00:00:00

  • Influence of Cold Ischemia Time in Combination with Donor Acute Kidney Injury on Kidney Transplantation Outcomes.

    abstract：BACKGROUND:Deceased-donor kidneys are often exposed to ischemic events from donor instability, as evidenced by acute kidney injury (AKI). Clinicians may be reluctant to transplant kidneys with AKI that also have prolonged cold ischemia time (CIT) for fear of an additional deleterious effect. STUDY DESIGN:We evaluated ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.05.003

    authors： Xia Y,Friedmann P,Cortes CM,Lubetzky ML,Kayler LK

    更新日期：2015-08-01 00:00:00

  • Elective abdominal aortic aneurysm repair: relationship of hospital teaching status to repair type, resource use, and outcomes.

    abstract：BACKGROUND:There has been a dramatic increase in the use of endovascular technology for treatment of abdominal aortic aneurysms (AAA), but practice patterns have not been well-evaluated. Hospital resource use and outcomes after elective endovascular abdominal aortic repair (EVAR) and open surgical repair were assessed ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2009.05.024

    authors： Vogel TR,Dombrovskiy VY,Graham AM

    更新日期：2009-09-01 00:00:00

  • Body mass index and outcomes in critically injured blunt trauma patients: weighing the impact.

    abstract：BACKGROUND:The influence of increased body mass index (BMI) on morbidity and mortality in critically injured trauma patients has been studied, with conflicting results. The objective of this study was to investigate the relationship between stratified BMI and outcomes in blunt injured patients. STUDY DESIGN:Consecutiv...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2006.12.042

    authors： Newell MA,Bard MR,Goettler CE,Toschlog EA,Schenarts PJ,Sagraves SG,Holbert D,Pories WJ,Rotondo MF

    更新日期：2007-05-01 00:00:00

  • Risk of late-onset adhesions and incisional hernia repairs after surgery.

    abstract：BACKGROUND:Long-term adhesion-related complications and incisional hernias after abdominal surgery are common and costly. There are few data on the risk of these complications after different abdominal operations. STUDY DESIGN:We identified Medicare beneficiaries who underwent endovascular repair of an abdominal aorti...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2013.01.060

    authors： Bensley RP,Schermerhorn ML,Hurks R,Sachs T,Boyd CA,O'Malley AJ,Cotterill P,Landon BE

    更新日期：2013-06-01 00:00:00

  • Prospective randomized controlled trial of operative rib fixation in traumatic flail chest.

    abstract：BACKGROUND:Traumatic flail chest injury is a potentially life threatening condition traditionally treated with invasive mechanical ventilation to splint the chest wall. Longer-term sequelae of pain, deformity, and physical restriction are well described. This study investigated the impact of operative fixation in these...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jamcollsurg.2012.12.024

    authors： Marasco SF,Davies AR,Cooper J,Varma D,Bennett V,Nevill R,Lee G,Bailey M,Fitzgerald M

    更新日期：2013-05-01 00:00:00

  • Risk factors and outcomes of surgical site infection in children.

    abstract：BACKGROUND:Indices for prediction of surgical site infection (SSI) are well documented in the adult population; however, these factors have not been validated in children. STUDY DESIGN:A retrospective case-control study was performed by examining the medical records of children (0 to 18 years) who developed an SSI wit...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2011.01.065

    authors： Bucher BT,Guth RM,Elward AM,Hamilton NA,Dillon PA,Warner BW,Keller MS

    更新日期：2011-06-01 00:00:00

  • Diagnosis and treatment of Mirizzi syndrome: 23-year Mayo Clinic experience.

    abstract：BACKGROUND:Mirizzi syndrome (MS) is characterized by extrinsic compression of the common hepatic duct by stones impacted in the cystic duct or gallbladder neck. Open cholecystectomy (OC) has been the standard treatment; however, laparoscopy has challenged this approach. STUDY DESIGN:The objective of this study was to ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2011.03.008

    authors： Erben Y,Benavente-Chenhalls LA,Donohue JM,Que FG,Kendrick ML,Reid-Lombardo KM,Farnell MB,Nagorney DM

    更新日期：2011-07-01 00:00:00

  • Does vaginal cuff closure decrease the infectious morbidity associated with abdominal hysterectomy?

    abstract：BACKGROUND:Infectious morbidity after total abdominal hysterectomy includes fever (31%) and antibiotic administration (45%). Whether vaginal cuff closure reduces postoperative infectious morbidity remains unresolved. STUDY DESIGN:We reviewed the records of 172 consecutive abdominal hysterectomies for nonmalignant dise...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Korn AP,Grullon K,Hessol N,Lin P,Siopak J

    更新日期：1997-10-01 00:00:00

  • Cost Analysis of Free Colonoscopies in an Uninsured Population at Increased Risk for Colorectal Cancer.

    abstract：BACKGROUND:Uninsured patients have poor access to screening colonoscopy and subsequently present with advanced stages of colorectal cancer (CRC) that beget worse outcomes and higher total costs. Providing pro bono colonoscopies to uninsured patients at high risk for CRC can detect early stage disease and be cost-effect...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jamcollsurg.2016.04.035

    authors： Sutton ER,Walling S,Kimbrough C,Borkhetaria N,Jones W,Sutton B

    更新日期：2016-07-01 00:00:00

  • Beneficial effects of growth hormone and insulin-like growth factor I on intestinal bacterial translocation, endotoxemia, and apoptosis in experimentally jaundiced rats.

    abstract：BACKGROUND:This study was undertaken to investigate the effect of growth hormone (GH) and insulin-like growth factor I (IGF-I), two well-known growth factors, on bacterial translocation, endotoxemia, enterocyte apoptosis, and intestinal and liver histology in a model of experimental obstructive jaundice in rats. STUDY...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(99)00285-9

    authors： Scopa CD,Koureleas S,Tsamandas AC,Spiliopoulou I,Alexandrides T,Filos KS,Vagianos CE

    更新日期：2000-04-01 00:00:00

  • A prospective evaluation of a simulator-based laparoscopic training program for gynecology residents.

    abstract：BACKGROUND:To determine prospectively if simulator-based laparoscopic training could improve laparoscopic skills of gynecology residents. STUDY DESIGN:Twenty-six gynecology residents were enrolled in a laparoscopy training curriculum involving didactics, self-paced learning modules, and graded simulator-based laparosc...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2007.08.005

    authors： Kirby TO,Numnum TM,Kilgore LC,Straughn JM

    更新日期：2008-02-01 00:00:00

  • Increased incidence of well-differentiated thyroid cancer associated with Hashimoto thyroiditis and the role of the PI3k/Akt pathway.

    abstract：BACKGROUND:The link between inflammation and cancer is well-established, but the link between Hashimoto thyroiditis (HT) and thyroid cancer remains controversial. The purpose of our study was to determine the incidence of patients with thyroid cancer and associated HT at our institution, to correlate our patient popula...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2006.12.037

    authors： Larson SD,Jackson LN,Riall TS,Uchida T,Thomas RP,Qiu S,Evers BM

    更新日期：2007-05-01 00:00:00