ABSTRACT
Under analysis are remote results of treatment of 751 children with congenital and acquired diseases of the vessels. Grounds are given for treatment of these diseases in the light of the classical syndromes of disturbed hemodynamics. The investigation of developmental and individual peculiarities of these syndromes is thought to be necessary. The leading role of microsurgical methods of treatment of such diseases of the vessels in children is stressed.
Subject(s)
Vascular Surgical Procedures/trends , Age Factors , Blood Vessels/abnormalities , Child , Child, Preschool , Humans , Infant , Russia , Vascular Diseases/congenital , Vascular Diseases/surgery , Vascular Surgical Procedures/methodsABSTRACT
In the period from 1985 to 1992 sixty-three patients aged from 7 months to 15 years were treated for the portal hypertension syndrome, 60 had the extrahepatie form. Forty-five various operations for portosystemic shunting were carried out: formation of proximal splenorenal anastomosis in 31, distal splenorenal anastomosis in 4, mesentericocaval anastomosis in 6, gastrocaval anastomisis in 2, and an atypical vascular shunt in 2 cases. Nonshunting operations were performed on 8 patients. Since 1986 39 sessions of endoscopic sclerotherapy were conducted, 16 of them were carried out in cases with esophagogastric bleeding.
Subject(s)
Gastrointestinal Hemorrhage/surgery , Hypertension, Portal/surgery , Portasystemic Shunt, Surgical , Adolescent , Child , Child, Preschool , Combined Modality Therapy , Endoscopy, Digestive System , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/therapy , Humans , Hypertension, Portal/complications , Hypertension, Portal/therapy , Infant , Portacaval Shunt, Surgical/methods , Sclerotherapy/methods , Splenorenal Shunt, Surgical/methodsABSTRACT
The authors have performed 28 sessions of endoscopic sclerotherapy of dilated esophagus veins in children. The 70% ethyl alcohol was used. Six sessions were carried out in patients with gastroesophageal hemorrhage. In 22 patients the sclerotherapy was carried on according to plan. The fiber gastroscope with a standard injector was used. A conclusion is made of expediency of using endoscopic sclerotherapy in complex treatment of portal hypertension in children.
