Surgical treatment of portal hypertension in children
IMJ-Iraqi Medical Journal. 1987; 35 (1): 12-18
en Inglés
| 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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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Derivación Portosistémica Quirúrgica
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Iraqi Med. J.
Año:
1987
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