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Surgical treatment of portal hypertension in children
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
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Index: IMEMR (Eastern Mediterranean) Main subject: Portasystemic Shunt, Surgical Limits: Female / Humans / Male Language: English Journal: Iraqi Med. J. Year: 1987

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Index: IMEMR (Eastern Mediterranean) Main subject: Portasystemic Shunt, Surgical Limits: Female / Humans / Male Language: English Journal: Iraqi Med. J. Year: 1987