title: [Extrahepatic portal hypertension. Azygos-portal disconnection].
abstract: The partial or complete obstruction of portal vein and or one of its branches is the most frequent cause of portal hypertension in children. A patient with extrahepatic portal hypertension and progressive course is presented, with great development of esophagogastric varices and multiple episodes of upper gastrointestinal hemorrhage. At the age of 9 years he was submitted to an azygos-portal disconnection by abdominal route, with manual transection of the esophagus, covered and protected by a gastric fundoplication. Postoperative endoscopic control demonstrated significant reduction in the size of esophageal varices and disappearance of gastric varices. Eleven months after surgery the patient was asymptomatic and a new endoscopic control showed no recurrence of varices.
authors.affiliation: Departamento de Cirugía, Hospital Clínico, Universidad de Chile.
authors.forename: H
authors.initials: H
authors.lastname: Schütte
authors.forename: J
authors.initials: J
authors.lastname: Aguirre
authors.forename: R
authors.initials: R
authors.lastname: Ibáñez
authors.forename: I
authors.initials: I
authors.lastname: Alcoholado
authors.forename: S
authors.initials: S
authors.lastname: Samith
authors.forename: F
authors.initials: F
authors.lastname: Larraín
mesh_terms: D001401:Azygos Vein / Q000601:surgery*; D002648:Child; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000628:therapy; D004945:Esophagoscopy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D008297:Male; D011169:Portal Vein / Q000601:surgery*
vernacular_title: Hipertensión portal extrahepática. Desconexión ácigos-portal.