[Treatment of upper gastrointestinal bleeding in portal hypertension in children].
Variceal bleeding is the most common cause of severe gastrointestinal bleeding in chilhood. Biliary atresia and portal venous obstruction are the most common causes. The patients with acute bleeding, pharmacotherapy with octreotide should be used immediately. All of these patients should undergo therapeutic endoscopy with band ligation. All children surviving variceal hemorrage should undergo secondary prophylaxis with band ligation. Transjugular intrahepatic portosystemic shunt creation in children is as safe in children than in adults. The primary prophylaxis in children with oesophageal varices is controversed.
Service de médecine infantile C, Hôpital d'enfant de Tunis.
Sonia Mazigh
SM
Mrad
Samir
S
Boukhthir
Fayçal
F
Oubich
Lamia
L
Gharsallah
Sihem
S
Barsaoui
D002648:Child; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000175:diagnosis / Q000628:therapy