[In Process Citation]
Twenty eight children were treated in the clinic for acute gastro-esophageal bleeding in portal hypertension syndrome. Conservative therapy has proved to be effective in 85.8% of cases. Endoscopic sclerotherapy was successfully used in 9 of the 11 patients. In ineffective conservative treatment for 24-48 hrs from the onset of bleeding, the authors consider suturing the esophago-gastric junction with ligation of the gastric vein and blocking the arterial splenic blood flow as an operation of choice.