[Long-term prognosis of portal hypertension in childhood].
In Europe more than 70 per cent of children with portal hypertension suffer from a prehepatic block. Most of them underwent an umbilical vein catheter treatment in postnatal anamnesis. Constructing a selective distal splenorenal shunt (Warren-shunt) is a definitive therapy. This operation is possible for children having a patent splenic vein with a diameter of at least 7 mm measured by splenoportoseriography. Sclerosing of the oesophageal wall is a good palliative treatment for small children with a diameter of the splenic vein of less than 7 mm. Children with prehepatic block and patent Warren-shunt have a good prognosis.
Cario
W R
WR
Mau
H
H
Deyda
K
K
Wack
R
R
Zimmermann
H B
HB
D000596:Amino Acids / Q000097:blood; D002648:Child; D002657:Child Development; D004932:Esophageal and Gastric Varices / Q000601:surgery; D006801:Humans; D006971:Hypersplenism / Q000601:surgery; D006975:Hypertension, Portal / Q000601:surgery*; D010166:Palliative Care; D011170:Portasystemic Shunt, Surgical; D011379:Prognosis; D013156:Splenectomy; D013164:Splenorenal Shunt, Surgical
D000596:Amino Acids
Die Langzeitprognose der portalen Hypertension im Kindesalter.