title: [Azygo-portal disconnection using the thoracic approach in children].
abstract: Porto-azygos disconnection is one of the therapeutic choice of portal hypertension. This technique have been used in a 13 year old boy with bleeding oesophageal varices during the evolution of a cirrhosis caused by active hepatitis. Disconnection was done in emergency using a total ligature of the oesophagus by left thoracotomy upon a clip introduced by oral way. By this technique, the abdomen and the digestive tract keep untouched. One year after the operation no oesophageal varices can be seen at endoscopy and a slight oesophageal stenosis have been easily treated by dilatations.
mesh_terms: D000293:Adolescent; D001401:Azygos Vein / Q000601:surgery*; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D011169:Portal Vein / Q000601:surgery*; D013909:Thorax
vernacular_title: Déconnexion azygo-portale par voie thoracique chez l'enfant.