title: Percutaneous transjugular intrahepatic stent shunt for treatment of intractable varicose bleeding in paediatric patients.
abstract: Two 10-year and 11-year-old children with oesophageal and gastric varicose haemorrhage unresponsive to medical treatment and repeated endoscopic sclerotherapy underwent percutaneous transjugular intrahepatic portosystemic shunting (TIPSS). A newly developed introducing system was used. The procedure was performed to avoid the increased risk of emergency liver transplantation in children with hepatic failure. Immediately after the procedure bleeding stopped and the patient's condition improved. Ascites disappeared and liver function improved. The stent shunt was shown to be patent by angiography and Doppler ultrasound for a follow up period of more than 1 year.
  
  
  CONCLUSIONS
  TIPSS may be of benefit in children with severe portal hypertension. It allows control of intractable bleeding, and stabilizes the patients preparing them for subsequent elective orthotopic liver transplantation.
authors: Ludwig-Maximilians Universität München, Klinikum Grosshadern, Institut für Radiologische Diagnostik, München, Germany.
authors: H
authors: H
authors: Berger
authors: F
authors: F
authors: Bugnon
authors: P
authors: P
authors: Goffette
authors: W
authors: W
authors: Steiner
authors: M
authors: M
authors: Strobelt
authors: A
authors: A
authors: Flemmer
authors: J
authors: J
authors: de Ville de Goyet
authors: P
authors: P
authors: Clapuyt
authors: J B
authors: JB
authors: Otte
authors: J P
authors: JP
authors: Buts
mesh_terms: D002648:Child; D004947:Esophagus / Q000098:blood supply*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D008297:Male; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D015607:Stents; D013270:Stomach / Q000098:blood supply*; D014648:Varicose Veins / Q000150:complications / Q000601:surgery*