Variant meso-Rex bypass with transposition of abdominal autogenous vein for the management of idiopathic extrahepatic portal vein obstruction: a retrospective observational study

Table 1 Patient characteristics

		Combined anomaly	Clinical symptoms	Preoperative Duplex USG		Embolization of portosystemic shunt	Combined splenectomy	Follow-up (months)
Patient	Sex/age (yr)	Combined anomaly	Clinical symptoms	Preoperative Duplex USG	Graft type	Embolization of portosystemic shunt	Combined splenectomy	Follow-up (months)	Outcome
1	M/20	-	EV, S, HS	Absent	CV	+	+	30	Good evolution
2^a	M/1	+	EV, S	Present	CV	+	-	30	Good evolution
3	M/19	-	EV, S, HS	Absent	CV	+	-	24	Good evolution
4	M/10	-	EV, S, HS	Present	IMV	+	-	23	Good evolution
5	F/4	+	EV, S, HS	Absent	IMV	-	-	10	Good evolution
6^b	M/13	+	EV, S, HS	Absent	CV	-	+	10	Good evolution

Combined anomalies: Patient 2, dextrocardia and intestinal malrotation; Patients 5, congenital heart disease; Patient 6, imperforate anus
Preoperative Duplex USG: Present, visualization of intrahepatic portal vein; Absent, non-visualization of intrahepatic portal vein
EV esophageal varix bleeding, S splenomegaly, HS hypersplenism, USG ultrasonography, CV coronary vein, IMV inferior mesenteric vein
^aPercutaneous transluminal angioplasty at 19 months after meso-Rex bypass
^bPast history of distal spleno-renal shunt operation at 58 months before meso-Rex bypass

ISSN: 1471-2482