Abstract
Portal hypertension (PH) is infrequent in children as compared to adults. Currently, repetitive endoscopic ablation of varices is standard treatment. However, endoscopic facilities are not readily available in resource-limited settings. We reviewed the indications, operative morbidity, mortality, shunt patency and re-bleeding episodes in nine patients (age range 6-16 years, M:F 6:3) who had DSRS for recurrent GI bleeding not responding to endoscopic treatment and hypersplenism. DSRS is a safe and effective treatment alternative in resource limiting setting for preventing bleeding and improving hypersplenism in children with extrahepatic portal hypertension.
| Original language | English |
|---|---|
| Pages (from-to) | 1228-1229 |
| Number of pages | 2 |
| Journal | Journal of the College of Physicians and Surgeons--Pakistan : JCPSP |
| Volume | 29 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - 2019 |
Keywords
- Children
- Distal splenorenal shunt (DSRS)
- Esophageal varices
- GI bleeding
- Portal hypertension