title: [Portal hypertension in children. Therapeutic approach in cases of failure of a portosystemic shunt].
abstract: 88 porto systemic shunts were performed between 1977-1985; 14 failures were observed. These failures occurred in ten children with extra-hepatic portal obstruction and in four with intra-hepatic obstruction. The treatment of these failures was different in these two groups: 7 reoperations in the extra-hepatic obstruction, none in the intra-hepatic. That reoperation is often not suitable in the intrahepatic obstruction because of the hepatic failure. The use of sclerotherapy or the beta receptor blocking agents is discussed in this group.
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D001651:Cholestasis, Extrahepatic / Q000601:surgery; D002780:Cholestasis, Intrahepatic / Q000601:surgery; D004932:Esophageal and Gastric Varices / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D007223:Infant; D011170:Portasystemic Shunt, Surgical; D011183:Postoperative Complications; D011433:Propranolol / Q000627:therapeutic use; D012086:Reoperation; D012597:Sclerosing Solutions / Q000008:administration & dosage
chemical_list: D012597:Sclerosing Solutions; D011433:Propranolol
vernacular_title: Hypertension portale chez l'enfant. Attitude thérapeutique en cas d'échec d'une dérivation portosystémique.