Portal Hypertension Resource!

The Rex Shunt Procedure for Portal Hypertension

The Rex Shunt procedure is a relatively new treatment procedure for portal hypertension that has been performed on children with positive results.  According to what I have learned, there are now over 90+ children in North America who have had the operation.

The Rex Shunt procedure has primarily been performed at Children’s Memorial Hospital in Chicago, Illinois by Dr. Riccardo Superina.   (There maybe a few other places in the world where this procedure is being performed, but I was unable to glean that information at this time).  If you are aware of any other locations please feel free to post your comments below.

Dr. Superina explains the procedure in the video below …

What is the Rex Shunt Procedure?

On the Facebook blog I subscribe to,  a fellow member had asked Dr. Superina directly whether or not the procedure could be performed on adults, and this was his reply …

“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.”

If you wish to send a case summary to Dr. Superina his mailing address is:

Riccardo Superina, MD

2300 Children’s Plaza, Box 57

Chicago, IL 60614-3363

Considering my particular case, the verdict is still out as to whether doctors would even consider a procedure such as this, or for that matter any kind of operation due to my underlying clotting condition?   For you though, or possibly someone you know maybe this procedure is something worth pursuing?

I had the privilege yesterday of meeting (via the web) Shelly Hart whose daughter Aubree had the Rex Shunt procedure performed by Dr. Superina 2 1/2 years ago.  Shelly has granted me permission to post her blog and you may view it by clicking here:  http://www.hartgirlies.blogspot.com/ Please click on Aubree’s health updates to view her personal journey!  Thank you Shelly!

If you have a story to share regarding the Rex Shunt procedure or for that matter any other procedure your post is most welcome here!

See a case report of the Rex Shunt Procedure for Adults.

{ 71 comments… read them below or add one }

Tatyana Danilenko April 12, 2011 at 2:27 pm

Dear Clint,
I want to share our good news with you. We prayed for the way and we see it now- the University clinic of Regensburg, Germany, is ready to treat my daughter and we are now in the process of getting passports and visa, etc.
Another miracle or God’s mercy, as we understand that, is that we have sponsor to pay for treatment- this guy with a big heart is ready to pay 22000 Euro, can you imagine that?
Sonya and Sophya is one name, Sonya is the name for a little girl, Sophya is the name for an adult.
Please continue to pray for my daughter. She is ill now- she has the obstructive bronchitis and breathing insufficiency, the risk of rebleeding while caughing is very high and I’m afraid so much for her. She has to be stable and healthy untill we go to Germany.
Your blog became international and I think you are doing very important thing by connecting different people and giving them advices and simply listening to their problem.
May God bless you.
My best regards,Tatyana, Ukraine.

Clint April 12, 2011 at 10:36 pm

Hi Tatyana,

Good news indeed! DEFINITELY WILL BE PRAYING FOR LITTLE SONYA. Keep us posted!

Blessings, Clint

Lenny April 30, 2011 at 7:14 am

Hi Clint And everybody here on this important chat ,
My daughter Aimee has PVT and all related problems with it Veracies ,enlarge spleen low PLT etc…
We were checking the REX shunt but her Vein in her leaver is to small to hold it open after procedure so the Dr sugest the Renal shunt ..so me question if there is any one here who there kid had this kind of shunt surgery ???we scheduled for May 26th @ Sick Kids Hospital with Dr Kim And Fecteau to have the surgery Im very scared and canot decide what to do .
If there is any thing some one knows please share info with me

Thank you all :)

Clint April 30, 2011 at 9:31 am

Hi Lenny,

Appreciate the update on Aimee. I just happened to be up early this Saturday morning, and ironically a gal by the name of Kristi posted her story the day before yesterday regarding the Renal Shunt operation. She posted 3 comments and the 2 most relavant to Aimee’s condition can be found under Esophogeal Varices and An Actual Case Report Regarding the Rex Shunt Procedure. (Click links and scroll down to read her comments).

There is also another gal from Sweden by the name of Alisa who herself had the Renal Shunt operation performed in St. Petersburg Russia. She is 25 years old and is currently writing a doctoral thesis. You can read her comments by clicking and scrolling down the page called My Portal Hypertension Journey. She posted a link to an article written by Dr. Kotiv (Russia) and 2 other doctors which is quite technical, but nonetheless you may find it helpful?

Aimee and your family will be in my prayers.
Take care,
Clint

Jamie May 23, 2011 at 12:28 pm

Clint,

I wrote a while ago about my son possibly having a Rex Shunt proceedure. After lots of tests he is going to have surgery June 1st. We are excited to see what changes this brings in his life. I would love if at all possible to get in touch with anyone with a young child that has had this proceedure. I’m looking for any info on what to expect for him as we go through recovery.

Thanks,
Jamie

Clint May 23, 2011 at 12:55 pm

Hi Jamie,

Thanks for sharing again – I do remember you! This is exciting news sor sure!

I am going to send you names (directly to your email) for 2 Mom’s whose children have both had the Rex Shunt procedure done at Children’s Memorial through Dr. Superina. For interest sake, I spoke with Dr. Superina’s nurse last week and she told me that to date he has performed 121 of this type of procedure on children. I also know that there have been several performed in London (don’t know the exact number) and there have at least been 50 performed in Moscow, Russia. Added to that list is a doctor in Mexico city who has successfully performed 3 operations in the past year.

Anyways – please keep me/us posted.

Prayers, Clint

Brandi June 1, 2011 at 7:27 am

My 8 year old daughter was diagnosed in march with PVT, thrombosis, varices and low platelets. Her spleen is one of the biggest they have sen at our childrens hospital. We had a repeat ultrasound on May 30 and her spleen has not gone down which is a shock because all doctors have physically examined her and felt like it did shrink. We are definitely having to look at Rex shunt and I am beyond petrified. We are going to have a second opinion and look at other options. I am very worried about not only the surgery itself but also the outcome of he surgery. My husband and I do not have the means of going out of state for he surgery but I am very Leary about letting doctors who have not performed this surgery perform this on her. She is also an in utero stroke victim. Any advise?!?

Clint June 1, 2011 at 2:20 pm

Hi Brandi,

Your comments are appreciated! I am very sorry to hear about your daughter! I do not know where you live in the US, but you may want to check out the list I compiled for doctor’s who have a connection to the Rex Shunt procedure. Before I do that I recommend that you call Children’s Memorial Hospital in Chicago and speak to Amy Bouvy (Transplant Surgery Nurse Practioner) who assists Dr. Superina, the specialist who performs the Rex Shunt. Dr. Superina has up to this point successfully performed 122 of these operations to date. Amy may have information that could be helpful to you regarding the feasibility of the operation itself.

Here is Amy’s contact information at Childrens Memorial:
Pager: 6171
Phone: (773) 883-6171

Click here for a list of specialists: http://www.portal-hypertension.com/2011/03/17/rex-shunt-procedure-specialist-list/
It also may be helpful to get in touch with some other Mom’s whose kids have had the operation so that you may hear directly from them as what to expect.

Shelly Hart is a mom’s whose daughter Aubree had the operation 4 years ago, and Shelly is on the parents advisory for the Rex Shunt Procedure at Children’s Memorial. Shelly would be happy to speak you if you wish. I will send her phone number to you via email in respect of her privacy. Shelly has a blog you may also want to check out and hopefully that will be helpful to you also. Her blog: http://www.hartgirlies.blogspot.com/

Another good resource person for you to contact is Jen Temple whose little guy Jakob had the surgery earlier this year. I will also send her imformation to you in the same email. Here is an article on Jakob that you may also find helpful: http://www.thenownewspaper.com/Special+little+rare+surgery+requires+rare+courage+help+from+friends/3707992/story.html

Lastly, there is a Facebook Page set up called Portal Vein Thrombosis & Portal Hypertension in Children and Adults. Both Jen and Shelly have made several posts on there, and it is growing more and more each day. Lots of questions and great dialogue happening.

Hope you find the answers you need to proceed? If you don’t mind I am a person of faith, so prayer is an important element of my life – I will be praying for your daughter plus you as you continue on this journey.

Kelly Sergent June 9, 2011 at 11:18 pm

Hi everyone!
My son, Patrick, had the Rex Shunt procedure by Dr. Superina two years ago; my son was two years old at the time. Patrick was a preemie and had started to lose weight at a few months old. It was then that the PVC was miraculously discovered. We opted to have the surgury at 2 yrs. not because Patrick had any of the life-threatening conditions that many others with PVT have, but because we knew that they would come and that the Rex Shunt is more successful in the young.

What Patrick was battling with was significant developmental delays in speech, physical, and occupational (fine motor). The Rex Shunt changed my little boy into a new child. Within weeks, he was speaking complete sentences (Dr. Superina didn’t believe me; he had to have written documents from Patrick’s speech therapist), running without falling, and gripping small objects. We were AMAZED! It was like someone had taken a veil off of my son and we could finally see the real Patrick.

I am more than happy to talk with anyone about the Rex Shunt, Dr. Superina, and Chicago (I live an hour west of Chicago and grew up by the airport on the south side). I can say, without a doubt, that this surgery is worth it. Whatevery you have to do, do it. This is the only actual cure for PVT. It just breaks my heart to read what everyone is going through- the pain, the procedures, the constant worry. If you can, in any way, get the Rex Shunt, do it. And use Dr. Superina- he’s the one who “invented” it and did the majority of the operations. Anyway, if anyone wants to talk, I’m here.

Kelly

Tatyana Danilenko June 11, 2011 at 1:01 pm

Hello Kelly!
Thank you for your encouraging post regarding your son Patrick!
From what I know for sure- the Rex-shunt procedure for PVT was firstly invented in Brussel, Belgium, in 1989. The author of that kind of shunt, Dr. Jean the Ville the Goyet, performed the first Rex-shunt and the operation was successful. In the early 90-es many doctors throughout the world started doing that more or less succsessfully.
I’m pretty convinced that by today Dr. R. Superina from Chicago is the most experienced and succsessful one among others who is perfoming Rex in children. As in our case, when Drs. in Germany told me that the Rex-shunt is definitely impossible in Sonya. Dr. Superina, after taking look at the disks with the images of Sonya’s investigations, resumed that he believes that Sonya should be a candidat for Rex.
I think, eventhough it was not his idea firstly, he knows his own professional secret how to do that, when others say “no”, he is sure he can do that. He is a very gifted Dr. from God.
We are trying to raise money right now to be able to come to Chicago for Rex, performed by Dr. Superina. Hopefully my daughter can survive until we will be ready to go.
Thank you again for the miraculous story of Patrick’s healing.
With the warmest regargs, Tatyana.

Amanda August 5, 2011 at 10:33 am

My daughter had the operation 3 years ago and I would be happy to reassure any parent who has concerns. Her operation was performed at Birmingham children’s Hospital in England.

Clint August 5, 2011 at 11:35 am

Hello Amanda,

Your comments are appreciated! It’s always good to hear success stories, and especially ones from your part of the world! I was wondering though, for the sake of others if you could provide the name of the doctor who performed the operation, and also if you know of how many Rex Shunt procedures have been performed at the Hospital? How old was your daughter when she had the operation? Thanks!

April August 14, 2011 at 9:54 am

We have recently traveled to Children’s in Cincinatti where we saw Dr. Ya Zigi. My four year old son will have the Rex Shunt, but we were told that because he hasn’t had a bleed yet (from the varices) we have to wait. She told us they are trying to get it passed so that the procedure can be done before a bleed, but after doing some research from what I understand it can be done after diagnosis, before a bleed. If anyone has any information on this it would help. Thanks!

Tracie Hodgson October 31, 2011 at 11:40 am

Hi Clint,

Not sure if you remember me? My son Aidan had the Rex shunt procedure in February. He passed soon after. I happened across a post on Facebook earlier today. I want to tell you how amazed and humbled I am at all the resources you and all of these amazing families have brought together. There is so much hope and support from everyone involved.
As always I offer my support and what small insight I can to those families facing the same road we did.
With sincere gratitude and support
Tracie Hodgson (Aidan’s mom)

Clint October 31, 2011 at 8:58 pm

Hi Tracie,

Thank you for your kind comments. I certainly DO remember you. How are you doing?

By no means is your support small as you have walked through a most difficult journey and by far would have an understanding greater than most. I appreciate your support – if even coming on the site to comment in this manner. From what I have learned so far is that people with portal hypertension can develop additional complications, and in the case of Aiden this was not an exception.

You are most welcome to comment anytime you feel a parent of a child or a person with Portal Hypetension could use an empathetic word.

Kindest regards,

Clint

dr pankaj dabas January 3, 2012 at 12:30 am

hi clint,
my son 3 years old has portal vein thrombosis.i stay in delhi india.can you tell me the nearest and best centre for rex shunt.

Clint January 3, 2012 at 2:38 am

Hello,

Thanks for your inquiry. Sorry to hear of your son’s PVT. I only am familiar with 2 places closest to India on the European continent that may do the procedure. For doctor’s in North America please refer to this link from my site: http://www.portal-hypertension.com/2011/03/17/rex-shunt-procedure-specialist-list/
(I would recommend you try to get in touch with Dr. Superina at Children’s Memorial Hospital in Chicago (see:http://www.childrensmemorial.org/findadoc/bios.aspx?id=993), or you may try Dr. Jean Emond in New York see: http://asp.cumc.columbia.edu/facdb/profile_list.asp?uni=je111&DepAffil=Surgery

Here is the contact information for the European Hospitals:

Birmingham Childrens Hospital
St Chad’s Queensway
Birmingham, West Midlands B4 6NH, United Kingdom
Phone 0121 333 9999

*Sorry but I do not have a specialists name for this hospital as this information was only passed on to me by a subscriber last week. If you have a name – please let me know.

France

Hôpital Bicêtre

78 rue du Général Leclerc
94270 Le Kremlin-Bicêtre, France
01 45 21 21 21

Let me know what you find out?

All the best,

Clint

Tiffany Knight January 18, 2012 at 12:07 pm

Hi,
My daughter was recently diagnosed with portal hypertension and esophageal varices after a terrifying GI bleed. She has been suffering with enlarged spleen and vomiting for over 2 years but no one was able to figure out why until she bled recently. I have decided have the Rex Shunt procedure. I’m a little nervous because I live in NYC and she will be having surgery at Columbia Presbyterian and I can’t seem to find out any information about any kids having operation there. If anyone knows someone whose had operation here your input is greatly appreciated. Also, I can’t seem to find out how long before complete recovery. Any input or information would be great.

Clint January 18, 2012 at 1:09 pm

Hi Tiffany,

Thanks for your post. Sorry to hear of your daughter’s situation. In answer to your question regarding someone in NYC doing the Rex Shunt, I can’t recommend anyone off hand as there only seems to be a few worldwide, however I will suggest you try to get in touch with dr. Jean Emond in New York as he seems to have a good handle on things of this nature. Here is a direct link from my site which includes all the docs I know “in the know” concerning The Rex Shunt: http://www.portal-hypertension.com/2011/03/17/rex-shunt-procedure-specialist-list/

Also … You may want to check out this Facebook site where many parents of kids who have had the Rex Shunt dialogue with others. Portal Vein Thrombosis & Portal Hypertension in Children and Adults. (sorry I don’t have the direct link handy but just search on Facebook if you have an account). Hope this helps? Please keep me posted if you find out anything.

Best, Clint

Sara February 7, 2012 at 9:19 am

Hi Clint,
My case is very much similar to Tiffany’s. my son is 33 months old and was diagnosed with PVT at 14 months. he suffers from low platelets enlarged spleen and oesophagean varices that need to be banded every 4 months. we’ve had the CT scan results recently and it appears the clot is too extended into the liver for a ref shut. we are waiting for a decision from the doctors. we live in the republic of Ireland and London is the nearest center of excellence over here. We can only hope for the best possible outcome.

Clint February 7, 2012 at 4:41 pm

Sara,

Thank you also for your post. As for most people who blog on here, I have to admit I have extra emphathy for the kids with this condition as opposed to adults. That being said though, there seems to be a greater resiliency with kids and just a few more options if complications allow. As for your son’s case “I pray” it to be true! If a good solution is to be found for your son, it would be great to know as I don’t have much information on doctor’s I can suggest to other who reside in the UK or your particular part of the world. If anything please let me know what happens. Staying true to my word because I am a person of faith, I will pray for the best possible outcome for your son, Tiffany’s daughter and all the children who are dealing with this most disconcerting condition! One more thing … are you going dealing with doctor’s at Birmingham Childrens Hospital? Best, Clint

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