title: [Portal hypertension in children: venous shunting in the early childhood].
abstract: 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.
authors.forename: Iu F
authors.initials: IuF
authors.lastname: Isakov
authors.forename: E A
authors.initials: EA
authors.lastname: Stepanov
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Razumovskiĭ
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Poliaev
authors.forename: N A
authors.initials: NA
authors.lastname: Trifonova
authors.forename: F F
authors.initials: FF
authors.lastname: Piroganov
mesh_terms: 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
vernacular_title: Portalńaia gipertenziia u deteĭ: opyt venoznogo shuntirovaniia v rannem detskom vozraste.