scholarly journals Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Uirá Fernandes Teixeira ◽  
Mayara Christ Machry ◽  
Marcos Bertozzi Goldoni ◽  
Cristine Kruse ◽  
João Alfredo Diedrich ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Distal Segment ◽  
Portal Flow ◽  
Left Gastric Vein ◽  
Vein Thrombosis ◽  
Flow Reconstruction ◽  
Portal Cavernoma ◽  
Portal Vein Reconstruction ◽  
Transplant Candidates

Portal vein thrombosis is observed in up to 10% of liver transplant candidates, hindering execution of the procedure. A dilated gastric vein is an alternative to portal vein reconstruction and decompression of splanchnic bed. We present two cases of patients with portal cavernoma and dilated left gastric vein draining splanchnic bed who underwent liver transplantation. The vein was dissected and sectioned near the cardia; the proximal segment was ligated with suture and the distal segment was anastomosed to the donor portal vein. Gastroportal anastomosis is an excellent option for portal reconstruction in the presence of thrombosis or hypoplasia. It allows an adequate splanchnic drainage and direction of hepatotrophic factors to the graft.

scholarly journals Causes and Management of Non-cirrhotic Portal Hypertension​

2020 ◽  
Vol 22 (12) ◽  
Author(s):  
Stefania Gioia ◽  
Silvia Nardelli ◽  
Lorenzo Ridola ◽  
Oliviero Riggio
Keyword(s):  
Liver Transplantation ◽  
Portal Hypertension ◽  
Natural History ◽  
Portal Vein ◽  
Liver Failure ◽  
Western World ◽  
Vein Thrombosis ◽  
Prevention Of Thrombosis ◽  
Portal Cavernoma ◽  
History Of

Abstract Purpose of the Review Non-cirrhotic portal hypertension (NCPH) includes a heterogeneous group of conditions. The aim of this paper is to make an overview on the denominations, diagnostical features and management of porto-sinusoidal vascular disease (PSVD) and chronic portal vein thrombosis (PVT) being the main causes of NCPH in the Western world. Recent Findings The management of NCPH consists in the treatment of associated diseases and of portal hypertension (PH). PH due to PSVD or PVT is managed similarly to PH due to cirrhosis. TIPS placement and liver transplantation are considerable options in patients with refractory variceal bleeding/ascites and with progressive liver failure. Anticoagulation is a cornerstone both in the treatment of thrombosis in PSVD and in the prevention of thrombosis recurrence in patients with portal cavernoma. Summary Physicians should be aware of the existence of PSVD and chronic PVT and actively search them in particular settings. To now, the management of portal hypertension-related complications in NCPH is the same of those of cirrhosis. Large cooperative studies on the natural history of NCPH are necessary to better define its management.

Portal vein thrombosis during liver transplantation: The risk of extra‐anatomical portal vein reconstruction

2020 ◽  
Vol 27 (5) ◽  
pp. 242-253
Author(s):  
Jinsoo Rhu ◽  
Gyu‐Seong Choi ◽  
Choon Hyuck David Kwon ◽  
Jong Man Kim ◽  
Jae‐Won Joh
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Vein Thrombosis ◽  
Portal Vein Reconstruction

A Case of Portal Flow Reconstruction with Collaterals in Patient with Diffuse Portal Vein Thrombosis and How to Decide the Method

2012 ◽  
Vol 94 (10S) ◽  
pp. 621
Author(s):  
J. S. Kim ◽  
D. J. Kim ◽  
J. P. Jung ◽  
H. J. Kim ◽  
S. E. Chon ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Portal Flow ◽  
Vein Thrombosis ◽  
Flow Reconstruction

Use of Pericholedochal Plexus for Portal Flow Reconstruction in Diffuse Portal Vein Thrombosis: Case Report

2014 ◽  
Vol 46 (3) ◽  
pp. 977-979 ◽  
Author(s):  
S. Lee ◽  
D.J. Kim ◽  
I.-G. Kim ◽  
J.Y. Jeon ◽  
J.P. Jung ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Portal Flow ◽  
Vein Thrombosis ◽  
Flow Reconstruction

scholarly journals Portal vein thrombosis during liver transplantation: The risk of extra-anatomical portal vein reconstruction

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S479
Author(s):  
Jongwook Oh ◽  
Jinsoo Rhu ◽  
Gyu Seong Choi ◽  
Jong Man Kim ◽  
Jae-Won Joh ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Vein Thrombosis ◽  
Portal Vein Reconstruction
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