Actual Case Report Regarding the Rex Shunt Procedure (Adults)

In the last decade, the Rex Shunt procedure has been successfully performed on children with portal vein thrombosis, however to the best of my knowledge has not been performed on adults with the exception of one person which I found had the operation in Niigata, Japan. The following article (click link below) was posted by a group of Japanese doctor’s who had successfully performed the Rex Shunt Procedure on an adult male a few year’s ago. Although the article is technical in nature, nonetheless I hope you are able to glean some good information from it?

It is interesting to note that this group of Japanese doctor’s are recommending the Rex shunt procedure be performed on a larger scale for adults with portal vein thrombosis.

http://www.springerlink.com/content/e53875128l97v008/fulltext.html

This article begs the question of whether or not there is general consensus amongst gastroentrologists and other specialists that this procedure is even a viable option for patients with PVT. Cost factor’s and risks versus gains would likely weigh into the equation also? This being said I would really appreciate input from anyone, especially doctor’s as the report above and a recent statement (see below) from Dr. Riccardo Superina (Children’s Memorial Hospital Chicago, IL) support the procedure be performed on adults.

“There is no reason that it cannot be applied to adults, and we would be happy …to hear their cases if they wished to send case summaries along and recommend further investigation or action.”

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{ 1 comment… read it below or add one }

Janet July 28, 2018 at 10:10 pm

Clint and Chantalle. It’s been 3 years since the last post so I’m not sure if this blog is monitored or not. I had my portal thrombosis event 10 years ago and my portal vein doesn’t work nor exist any more. I have cavenerous veins which carry the blood flow but there isn’t enough capacity. I have portal hypertension and varicose veins by my stomach, esphogous, and intestines and take non-selective blood pressure RX to lower pressure. I haven’t had any additional complications for the last 10 years. More background: my gallbladder was removed years ago and I have experienced chronic stomach issues to include gastritis and the gallbladder removal made my stomach and IBS issues worse. I have splenonomegally after the PVT. Between the large spleen, stomach issues, IBS, and gallbladder removal I now have more issues with digestion, anemia, poor nutrient absorption, and low platelet counts. The last month I’ve had 3 ER visits due to intense pain at the bottom of the breast bone. I don’t know if this is a new PVT complication. Completed extensive heart testing that has been ruled out. Completed dopular scan and CT scan and didn’t find any new issues. Next week I have an endoscope to verify there isn’t anything new in my stomach or the varicose veins.

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