1.
IMJ-Iraqi Medical Journal. 1987; 35 (1): 12-18
in English
| IMEMR
| ID: emr-8888
ABSTRACT
Experience with the surgical management of portal hypertension in 16 children has been carefully analysed. Haematemesis and melaena were the commonest presentation. The site of obstruction was extra-hepatic in 11 patients and intrahepatic in five patients. Abnormal neonatal history was found in only two patients. Gastroscopy and trans-splenic portography were the most helpful diagnostic procedures. Conservative treatment controlled the vast majority of bleeding episodes, occasionally porto-systemic disconnection was required to stop the continous bleeding. Cavo-mesenteric shunt [end-to-side] was found to give satisfactory defenitive result. Ligation of splenic artery is safe and useful method; it can replace splenectomy