Abstract
Eight children and two adults with portal hypertension were treated by portal diversion surgery. In all cases recurrent gastro-intestinal bleeding from esophageal varices was the indication for shunt-operation. Still in early childhood, three of these patients had had a splenectomy in other hospitals: one emergency splenectomy for hemoperitoneum and two elective splenectomies for hypersplenism. Three operative techniques were used: 5 spleno-renal shunts, 3 meso-caval shunts and 2 porto-caval shunts. All, but one, were followed over a period from 2 to 13 years after shunt-surgery. There was no mortality in this series. After shunting all children remained free of esophageal bleeding. We did not find any complication directly related to the shunt procedure.
TY - JOUR
T1 - Portal derivation surgery in children. A long-term follow-up report.
AU - Anné,T,
AU - Derom,F,
PY - 1982/1/1/pubmed
PY - 1982/1/1/medline
PY - 1982/1/1/entrez
SP - 67
EP - 71
JF - Acta chirurgica Belgica
JO - Acta Chir Belg
VL - 82
IS - 1
N2 - Eight children and two adults with portal hypertension were treated by portal diversion surgery. In all cases recurrent gastro-intestinal bleeding from esophageal varices was the indication for shunt-operation. Still in early childhood, three of these patients had had a splenectomy in other hospitals: one emergency splenectomy for hemoperitoneum and two elective splenectomies for hypersplenism. Three operative techniques were used: 5 spleno-renal shunts, 3 meso-caval shunts and 2 porto-caval shunts. All, but one, were followed over a period from 2 to 13 years after shunt-surgery. There was no mortality in this series. After shunting all children remained free of esophageal bleeding. We did not find any complication directly related to the shunt procedure.
SN - 0001-5458
UR - https://www.unboundmedicine.com/medline/citation/6977979/Portal_derivation_surgery_in_children__A_long_term_follow_up_report_
DB - PRIME
DP - Unbound Medicine
ER -