Abstract：
BACKGROUND AND AIMS:Congenital extrahepatic portosystemic shunt (CEPS) is a rare venous malformation in which mesenteric venous blood drains directly into the systemic circulation. It is still a matter of debate whether conservative or operative strategies should be used to treat symptomatic CEPS. The aim of this study was to evaluate the role of operative intervention in the management of CEPS. METHODS:Between June 2004 and August 2010, 6 consecutive patients with symptomatic CEPS were treated in our department. There were 3 male and 3 female patients, with a median age of 3.5 years (range, 1-8). Their demographic, clinical, and laboratory data were analyzed. All patients were scheduled to undergo shunt ligation or liver transplantation (LT). RESULTS:Living donor LT was carried out in 4 patients, and shunt ligation in 2. After a median follow-up of 25 months, all the patients are alive currently with marked relief of symptoms. CONCLUSION:Shunt ligation or LT for symptomatic CEPS is potentially curative.
journal_name
Surgeryjournal_title
Surgeryauthors
Sanada Y,Urahashi T,Ihara Y,Wakiya T,Okada N,Yamada N,Egami S,Hishikawa S,Kawano Y,Ushijima K,Otomo S,Sakamoto K,Nakata M,Yasuda Y,Mizuta Kdoi
10.1016/j.surg.2011.07.035subject
Has Abstractpub_date
2012-03-01 00:00:00pages
404-11issue
3eissn
0039-6060issn
1532-7361pii
S0039-6060(11)00386-2journal_volume
151pub_type
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