Portal hypertension: American Academy of Pediatrics Surgical Section survey--1981.
Hepatic (cirrhosis) accounts for a higher percentage of portal hypertension than extrahepatic portal vein obstruction. Some patients with extrahepatic portal hypertension (portal vein obstruction) have a more favorable clinical status. Nonoperative management (balloon tamponade, vasopressin) will usually succeed in controlling bleeding (both groups). Most patients can be stabilized before surgical procedure. Results of devascularization procedures are encouraging. Central splenorenal shunt was most commonly employed (both groups). The Warren shunt is gaining popularity. There are no clear advantages of any particular method of portosystemic shunting in either group. The results of shunt therapy in cirrhotic patients are comparable to those observed in patients with extrahepatic portal hypertension.
D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D002648:Child; D004932:Esophageal and Gastric Varices / Q000601:surgery / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000601:surgery / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D008103:Liver Cirrhosis / Q000150:complications