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[Effect of combined operation including splenorenal shunt as the main technique for portal hypertension in children].
Zhonghua Wai Ke Za Zhi. 2000 Aug; 38(8):601-3.ZW

Abstract

OBJECTIVE

To assess the effect of combined operation including splenorenal shunt as the main technique for portal hypertension in children.

METHODS

22 patients were reviewed and followed up from 1980 to 1998 (13 male, 9 female). The average age was 9.45 years. Intrahepatic type was shown in 16 patients and prehepatic type in 6. All patients had hematemesis, hematochezia or severe esophageal varices. Liver function was classified Child A in 14 patients, B in 7, and C in 1. Combined operation was performed in all patients.

RESULTS

There was no operative death in this group. 21 patients (95.5%) were followed up, with the longest time for 19 years (average 9.58 years). Six patients had hemorrhage from the esophageal varices after operation, and two died of hemorrhage. The survival rates of < 3, -5, -10, -15, > 15 years were 95.2%, 100%, 93.8%, 100%, 100% respectively. No hepatic encephalopathy was noted.

CONCLUSION

In treating and preventing hemorrhage from the esophageal varices, combined operation including splenorenal shunt as the main technique is the first choice for the portal hypertension in children. Attention must be paid to the patients who had hemorrhage from the esophageal varices after operation.

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Publisher Full Text

Authors+Show Affiliations

Li Z
Department of Pediatric Surgery, Second Hospital, Hebei Medical University, Shijiazhuang 050000, China.
Zhao L
No affiliation info available
Yu Z
No affiliation info available
Zhong Z
No affiliation info available

MeSH

AdolescentChildChild, PreschoolEsophageal and Gastric VaricesFemaleFollow-Up StudiesHumansHypertension, PortalMalePortasystemic Shunt, SurgicalRetrospective StudiesSplenorenal Shunt, SurgicalSurvival RateTreatment Outcome

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

11832118

Citation

Li, Z, et al. "[Effect of Combined Operation Including Splenorenal Shunt as the Main Technique for Portal Hypertension in Children]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 38, no. 8, 2000, pp. 601-3.
Li Z, Zhao L, Yu Z, et al. [Effect of combined operation including splenorenal shunt as the main technique for portal hypertension in children]. Zhonghua Wai Ke Za Zhi. 2000;38(8):601-3.
Li, Z., Zhao, L., Yu, Z., & Zhong, Z. (2000). [Effect of combined operation including splenorenal shunt as the main technique for portal hypertension in children]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 38(8), 601-3.
Li Z, et al. [Effect of Combined Operation Including Splenorenal Shunt as the Main Technique for Portal Hypertension in Children]. Zhonghua Wai Ke Za Zhi. 2000;38(8):601-3. PubMed PMID: 11832118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effect of combined operation including splenorenal shunt as the main technique for portal hypertension in children]. AU - Li,Z, AU - Zhao,L, AU - Yu,Z, AU - Zhong,Z, PY - 2002/2/8/pubmed PY - 2005/1/15/medline PY - 2002/2/8/entrez SP - 601 EP - 3 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 38 IS - 8 N2 - OBJECTIVE: To assess the effect of combined operation including splenorenal shunt as the main technique for portal hypertension in children. METHODS: 22 patients were reviewed and followed up from 1980 to 1998 (13 male, 9 female). The average age was 9.45 years. Intrahepatic type was shown in 16 patients and prehepatic type in 6. All patients had hematemesis, hematochezia or severe esophageal varices. Liver function was classified Child A in 14 patients, B in 7, and C in 1. Combined operation was performed in all patients. RESULTS: There was no operative death in this group. 21 patients (95.5%) were followed up, with the longest time for 19 years (average 9.58 years). Six patients had hemorrhage from the esophageal varices after operation, and two died of hemorrhage. The survival rates of < 3, -5, -10, -15, > 15 years were 95.2%, 100%, 93.8%, 100%, 100% respectively. No hepatic encephalopathy was noted. CONCLUSION: In treating and preventing hemorrhage from the esophageal varices, combined operation including splenorenal shunt as the main technique is the first choice for the portal hypertension in children. Attention must be paid to the patients who had hemorrhage from the esophageal varices after operation. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/11832118/[Effect_of_combined_operation_including_splenorenal_shunt_as_the_main_technique_for_portal_hypertension_in_children]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&amp;issn=0529-5815&amp;year=2000&amp;vol=38&amp;issue=8&amp;fpage=601 DB - PRIME DP - Unbound Medicine ER -