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IMJ-Iraqi Medical Journal. 1987; 35 (1): 12-18
en Inglés | IMEMR | ID: emr-8888

RESUMEN

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


Asunto(s)
Humanos , Masculino , Femenino , Derivación Portosistémica Quirúrgica/métodos
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