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Portal hypertension after combined liver and intestinal transplantation, a diagnostic and therapeutic challenge?

(2012) PEDIATRIC TRANSPLANTATION. 16(7). p.E301-E305
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Abstract
A widely accepted technique to transplant the liver-bowel bloc is first to perform a piggyback anastomosis of the donor suprahepatic vena cava to the recipient vena cava; second to restore the arterial blood supply through an aortic interposition graft; and third to ensure venous drainage of the native foregut. The venous drainage of the native foregut can be restored through an end-to-end portocaval anastomosis between the donor infrahepatic vena cava and the recipient portal vein. Stenosis of this anastomosis can lead to portal hypertension presenting with upper GI congestion, bleeding, and hypersplenism. We report the successful treatment of this complication using an e-PTFE-covered stent inserted following balloon angioplasty.
Keywords
fluoro-ethylene-covered stent, upper gastrointestinal bleeding, poly-tetra, intestine transplantation, portal hypertension, portocaval shunt, SHUNT

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Citation

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Chicago
Monbaliu, Diethard, Jo Vandersmissen, Gert De Hertogh, Gert Van Assche, Ilse Hoffman, Noël Knops, Charlotte Debbaut, Sam Heye, Jacques Pirenne, and Geert Maleux. 2012. “Portal Hypertension After Combined Liver and Intestinal Transplantation, a Diagnostic and Therapeutic Challenge?” Pediatric Transplantation 16 (7): E301–E305.
APA
Monbaliu, Diethard, Vandersmissen, J., De Hertogh, G., Van Assche, G., Hoffman, I., Knops, N., Debbaut, C., et al. (2012). Portal hypertension after combined liver and intestinal transplantation, a diagnostic and therapeutic challenge? PEDIATRIC TRANSPLANTATION, 16(7), E301–E305.
Vancouver
1.
Monbaliu D, Vandersmissen J, De Hertogh G, Van Assche G, Hoffman I, Knops N, et al. Portal hypertension after combined liver and intestinal transplantation, a diagnostic and therapeutic challenge? PEDIATRIC TRANSPLANTATION. 2012;16(7):E301–E305.
MLA
Monbaliu, Diethard, Jo Vandersmissen, Gert De Hertogh, et al. “Portal Hypertension After Combined Liver and Intestinal Transplantation, a Diagnostic and Therapeutic Challenge?” PEDIATRIC TRANSPLANTATION 16.7 (2012): E301–E305. Print.
@article{2057150,
  abstract     = {A widely accepted technique to transplant the liver-bowel bloc is first to perform a piggyback anastomosis of the donor suprahepatic vena cava to the recipient vena cava; second to restore the arterial blood supply through an aortic interposition graft; and third to ensure venous drainage of the native foregut. The venous drainage of the native foregut can be restored through an end-to-end portocaval anastomosis between the donor infrahepatic vena cava and the recipient portal vein. Stenosis of this anastomosis can lead to portal hypertension presenting with upper GI congestion, bleeding, and hypersplenism. We report the successful treatment of this complication using an e-PTFE-covered stent inserted following balloon angioplasty.},
  author       = {Monbaliu, Diethard and Vandersmissen, Jo and De Hertogh, Gert and Van Assche, Gert and Hoffman, Ilse and Knops, No{\"e}l and Debbaut, Charlotte and Heye, Sam and Pirenne, Jacques and Maleux, Geert},
  issn         = {1397-3142},
  journal      = {PEDIATRIC TRANSPLANTATION},
  keyword      = {fluoro-ethylene-covered stent,upper gastrointestinal bleeding,poly-tetra,intestine transplantation,portal hypertension,portocaval shunt,SHUNT},
  language     = {eng},
  number       = {7},
  pages        = {E301--E305},
  title        = {Portal hypertension after combined liver and intestinal transplantation, a diagnostic and therapeutic challenge?},
  url          = {http://dx.doi.org/10.1111/j.1399-3046.2012.01670.x},
  volume       = {16},
  year         = {2012},
}

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