Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation
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 ga...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/8289045 |
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| author | Uirá Fernandes Teixeira Mayara Christ Machry Marcos Bertozzi Goldoni Cristine Kruse João Alfredo Diedrich Pablo Duarte Rodrigues Caroline Becker Giacomazzi Estéfano Aurélio Negri Matheus Koop Carlos Gustavo Spode Gomes José Artur Sampaio Paulo Roberto Ott Fontes Fábio Luiz Waechter |
| author_facet | Uirá Fernandes Teixeira Mayara Christ Machry Marcos Bertozzi Goldoni Cristine Kruse João Alfredo Diedrich Pablo Duarte Rodrigues Caroline Becker Giacomazzi Estéfano Aurélio Negri Matheus Koop Carlos Gustavo Spode Gomes José Artur Sampaio Paulo Roberto Ott Fontes Fábio Luiz Waechter |
| author_sort | Uirá Fernandes Teixeira |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-5356d739ad9a4e2ba79172857d62a10b |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-5356d739ad9a4e2ba79172857d62a10b2025-02-03T07:26:02ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/82890458289045Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver TransplantationUirá Fernandes Teixeira0Mayara Christ Machry1Marcos Bertozzi Goldoni2Cristine Kruse3João Alfredo Diedrich4Pablo Duarte Rodrigues5Caroline Becker Giacomazzi6Estéfano Aurélio Negri7Matheus Koop8Carlos Gustavo Spode Gomes9José Artur Sampaio10Paulo Roberto Ott Fontes11Fábio Luiz Waechter12Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilPontifícia Universidade Católica (PUC), Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilGastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, BrazilPortal 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.http://dx.doi.org/10.1155/2016/8289045 |
| spellingShingle | Uirá Fernandes Teixeira Mayara Christ Machry Marcos Bertozzi Goldoni Cristine Kruse João Alfredo Diedrich Pablo Duarte Rodrigues Caroline Becker Giacomazzi Estéfano Aurélio Negri Matheus Koop Carlos Gustavo Spode Gomes José Artur Sampaio Paulo Roberto Ott Fontes Fábio Luiz Waechter Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation Case Reports in Surgery |
| title | Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation |
| title_full | Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation |
| title_fullStr | Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation |
| title_full_unstemmed | Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation |
| title_short | Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation |
| title_sort | use of left gastric vein as an alternative for portal flow reconstruction in liver transplantation |
| url | http://dx.doi.org/10.1155/2016/8289045 |
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