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Effects of Rex-bypass shunt on the cavernous transformation of the portal vein in children: evaluation by the color Doppler ultrasonography

Authors
  • Ruan, Zhengmin1
  • Wu, Mei1
  • Shao, Chunchun2
  • Zhang, Yuan2
  • Zhang, Caikun3
  • Zhang, Feixue1
  • Zhao, Bin4
  • 1 The Second Hospital of Shandong University, No 247, Beiyuan Street, Ji’nan, 250033, China , Ji’nan (China)
  • 2 The Second Hospital of Shandong University, Ji’nan, China , Ji’nan (China)
  • 3 Shandong College of Traditional Chinese Medicine, Yantai, China , Yantai (China)
  • 4 Shandong Medical Imaging Research Institute, Jinan, China , Jinan (China)
Type
Published Article
Journal
Insights into Imaging
Publisher
Springer-Verlag
Publication Date
Jan 03, 2020
Volume
11
Issue
1
Identifiers
DOI: 10.1186/s13244-019-0815-6
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundThe study was to investigate the role of color Doppler ultrasonography in the evaluation of the effect of Rex-bypass shunt on the cavernous transformation of the portal vein (CTPV) in children.MethodsFifty children with symptomatic extrahepatic portal hypertension who received Rex-bypass shunt were retrospectively reviewed, and they were diagnosed with CTPV by ultrasonography. The clinical characteristics were analyzed before and after operation.ResultsForty-five patients received color Doppler ultrasonography at 6 months after surgery, and good patency in the bypass vessels was displayed. The platelet count significantly increased (P < 0.001) and the esophagogastric varices were improved significantly (p < 0.001). The patency of bypass vessels on color Doppler ultrasonography was consistent with the changes in the platelet count and the degree of esophagogastric varices on gastroscopy before and after operation. The diameter of bypass vessels at 6 months was slightly larger than that at 7 days after operation, and there was no significant difference in blood flow velocity between two time points (P = 0.507).ConclusionsColor Doppler ultrasonography can display the patency, diameter, and flow velocity of bypass vessels. It plays an important role in evaluating the effect of Rex-bypass shunt on the CTPV.

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