Portal hypertension: American Academy of Pediatrics Surgical Section survey--1981.

Abstract:

:Hepatic (cirrhosis) accounts for a higher percentage of portal hypertension than extrahepatic portal vein obstruction. Some patients with extrahepatic portal hypertension (portal vein obstruction) have a more favorable clinical status. Nonoperative management (balloon tamponade, vasopressin) will usually succeed in controlling bleeding (both groups). Most patients can be stabilized before surgical procedure. Results of devascularization procedures are encouraging. Central splenorenal shunt was most commonly employed (both groups). The Warren shunt is gaining popularity. There are no clear advantages of any particular method of portosystemic shunting in either group. The results of shunt therapy in cirrhotic patients are comparable to those observed in patients with extrahepatic portal hypertension.

journal_name

J Pediatr Surg

authors

Altman RP,Krug J

doi

10.1016/s0022-3468(82)80111-5

subject

Has Abstract

pub_date

1982-10-01 00:00:00

pages

567-70

issue

5

eissn

0022-3468

issn

1531-5037

pii

S0022346882000682

journal_volume

17

pub_type

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