[The shunt for portal hypertension in children].
Ten children with portal hypertension were treated with shunt operations. Among them, 9 were extrahepatic and one was intrahepatic lesion. The follow-up for 1-14 years showed: (1) In the 3 patients treated with splenopneumopexy, hemorrhage from the esophageal varices were controlled and portopulmonary shunt was demonstrated by Doppler ultrasound and radionuclide; (2) In the 6 patients treated with mesocaval shunt, 3 were non-recurrent bleeding and 2 died of recurrent bleeding or other disease respectively; (3) In one child with hepatic cirrhosis (11 year old) treated by splenorenal shunt, non-recurrent bleeding occurred. The authors suggest the portopulmonary shunt by splenopneumopexy is safe and effective for the portal hypertension of children.
Hu
T Z
TZ
First Hospital, West China University of Medical Sciences, Chengdu.
Wei
F K
FK
Liu
W Y
WY
D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D011170:Portasystemic Shunt, Surgical