[Esophageal varices in childhood].
A multicenter study over a period of 20 years for 3487 children demonstrated: Esophageal varices occur in infants before the age of 6 months (8%). In contrast to adults, infants can suffer from intrahepatic biliary atresias and from alpha-1-antitrypsin-deficiency. Leading to a liver fibrosis and to a hepatofugal circulation. This does not always lead to esophageal varices. 15% of all children have this asymptomatic follow up. The rest of 85% can be treated successfully conservatively and in 15% by sclerotherapy. Further treatment: local thrombectomy or familiar liver partial transplantation.
Willital
G H
GH
Klinik und Poliklinik für Kinderchirurgie, Universität Münster.
D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007223:Infant; D011169:Portal Vein / Q000601:surgery; D011170:Portasystemic Shunt, Surgical; D012008:Recurrence; D015911:Sclerotherapy; D013927:Thrombosis / Q000209:etiology / Q000601:surgery