What is a Rex shunt?

The Rex Shunt The shunt bypasses the blocked portal vein and restores venous blood flow to the liver. A vein (usually the jugular vein in the neck) is used to build a bridge around the blockage. Blood flows from the large intestinal veins, across the bridge, around the blockage and back into the liver.

What is the ICD 10 code for portal hypertension?

K76. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is Ehpvo?

Extrahepatic portal venous obstruction (EHPVO) is the commonest cause of portal hypertension and variceal bleeding in children.

Which is the most common clinical manifestation of portal hypertension?

The main symptoms and complications of portal hypertension include:

• Gastrointestinal bleeding: Black, tarry stools or blood in the stools; or vomiting of blood due to the spontaneous rupture and bleeding from varices.
• Ascites: An accumulation of fluid in the abdomen.

What is Portal Biliopathy?

Portal biliopathy refers to cholangiographic abnormalities which occur in patients with portal cavernoma. These changes occur as a result of pressure on bile ducts from bridging tortuous paracholedochal, epicholedochal and cholecystic veins.

What is extrahepatic portal vein?

Guidelines for the diagnosis and treatment of extrahepatic portal vein obstruction (EHPVO) in children | Annals of Hepatology. Annals of Hepatology. Annals of Hepatology. Inicio Annals of Hepatology Guidelines for the diagnosis and treatment of extrahepatic portal vein obstructi… Home.

What is the Rex shunt procedure for portal hypertension?

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.

What is the best shunt for ehpvo and NRH?

Rex-shunt or MLPVB is the recommended shunt for EHPVO, but needs proper pre-operative radiological assessment and surgical expertise. Both disorders have otherwise a fairly good prognosis, but need regular and careful surveillance. Hepatic schistosomiasis, CHF and NRH have similar presentation and comparable prognosis.

How many children in North America have had a Rex shunt?

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.