[Portal hypertension in children: venous shunting in the early childhood].
Operations were carried out on 98 children with extrahepatic portal hypertension and on 6 with intrahepatic block and no signs of hepatocellular insufficiency. Mesenterico-caval H-shunt was formed in 78 children with the use of the internal jugular vein as the insert. The remaining children underwent formation of mesocaval anastomosis (8), distal spleno-renal shunt (4), portocaval anastomosis (1), Sugiura's operation (7). Among the operations 68 were planned, 12 emergency, and 18 preventive. The average age of the children was 6.5 years; 31 were under the age of 5 years and 19 under 3 years of age. The youngest child was aged 10 months, the H-shunt was successful. The results of the operation: thrombosis of the shunt 0%, portosystem encephalopathy 0%, recurrent hemorrhage 0%, lethality 1%. This is evidence of the expediency of performing shunting operations in early childhood.
Isakov
Iu F
IuF
Stepanov
E A
EA
Razumovskiĭ
A Iu
AIu
Poliaev
Iu A
IuA
Trifonova
N A
NA
Piroganov
F F
FF
D002648:Child; D002675:Child, Preschool; D015150:Echocardiography, Doppler; D016145:Endoscopy, Digestive System; D006439:Hemodynamics; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D007223:Infant; D011167:Portacaval Shunt, Surgical / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D013164:Splenorenal Shunt, Surgical / Q000379:methods*; D016896:Treatment Outcome
Portalńaia gipertenziia u deteĭ: opyt venoznogo shuntirovaniia v rannem detskom vozraste.