[The shunt for portal hypertension in children].Zhonghua Wai Ke Za Zhi. 1994 Dec; 32(12):718-20.ZW
Ten children with portal hypertension were treated with shunt operations. Among them, 9 were extrahepatic and one was intrahepatic lesion. The follow-up for 1-14 years showed: (1) In the 3 patients treated with splenopneumopexy, hemorrhage from the esophageal varices were controlled and portopulmonary shunt was demonstrated by Doppler ultrasound and radionuclide; (2) In the 6 patients treated with mesocaval shunt, 3 were non-recurrent bleeding and 2 died of recurrent bleeding or other disease respectively; (3) In one child with hepatic cirrhosis (11 year old) treated by splenorenal shunt, non-recurrent bleeding occurred. The authors suggest the portopulmonary shunt by splenopneumopexy is safe and effective for the portal hypertension of children.