Bleeding oesophageal varices with long term follow up.

Spence, Roy A. J.; Johnston, G. W.; Odling-Smee, G. W.; Rodgers, H. W.

doi:10.1136/adc.59.4.336

Cited by 28 publications

(3 citation statements)

References 20 publications

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“…Asymptomatic patients can then be observed with serial sonograms to monitor the progression of their varices. Recently , two long-term follow-up studies of pediatric patients without shunts with esophageal varices reemphasized that rebleeding episodes decrease with increasing age (14,15). This approach allows us to provide our parents and patients with anticipatory guidance as to the nature of clinical complications that might arise, to initiate discussions of therapeutic modalities such as sclerotherapy and Stengsten- FIG.…”

Section: Discussionmentioning

confidence: 99%

Sonographic Evaluation of Portal Hypertension in Children

Rabinowitz,

Norton,

Benkov

et al. 1990

J. pediatr. gastroenterol. nutr.

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SummaryPortal hypertension, an expected consequence of cirrhosis, often has an insidious course in children. A noninvasive technique using abdominal sonography has been previously employed by several investigators as a means of diagnosing this condition. Their technique involves sonographically measuring the diameter of the lesser omentum, which increases as a result of engorged collaterals. In this communication, the method is successfully employed in two children, an infant in whom cirrhosis developed who eventually died from acquired immunodeficiency syndrome, and one whose portal hypertension was relieved after orthotopic liver transplantation. Although successful in these two instances, the theoretical basis on which this technique is based is critically evaluated. Anatomical relationships are reviewed that would caution sonographers who attempt to duplicate these studies. Modifications of the technique that will minimize potential false positive results are also discussed.

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Section: Discussionmentioning

confidence: 99%

Sonographic Evaluation of Portal Hypertension in Children

Rabinowitz,

Norton,

Benkov

et al. 1990

J. pediatr. gastroenterol. nutr.

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“…Oft tritt die Blutung im Rahmen eines Infektes der oberen Luftwege oder bei Fieber bzw. nach Gabe von Azetylsalizylsäurepräparaten auf [16]. Hier mögen der erhöhte intraabdominelle und thorakale Druck beim Husten, die hyperdyname Kreislaufsituation bei Fieber und die Thrombozytenaggregationshemmung durch Azetylsalizylsäure eine Rolle spielen.…”

Section: Klinische Manifestationunclassified

Portale Hypertension und Ösophagusvarizen

Rodeck

2002

Monatsschrift Kinderheilkunde

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“…EPH usually occurs during childhood or adolescence as a sequel of neonatal omphalitis and other intra-abdominal sepsis [1][2][3]. EPH in adults can be attributed beyond the intra-abdominal infection, malignancy or pancreatitis also to primary myleoproliferative disorders even if the latter ones are detected in a latent form or at an early stage [4], In over one half of these patients, however, the etiology of portal vein obstruction is not identifiable [1].…”

Section: Introductionmentioning

confidence: 99%

Pregnancy and Extrahepatic Portal Hypertension

Pajor

Lehoczky²

1990

Gynecol Obstet Invest

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The authors report on 17 pregnancies of 7 patients with extrahepatic portal hypertension (EPH). Before conception all patients underwent splenectomy, in 5 of them portosystemic shunts were performed and 3 women received esophageal sclerotherapy as well. Three patients had esophageal varices before and throughout the pregnancy, and in 1 patient pregnancy was electively terminated on 4 occasions for previously bleeding varices; then the sclerotherapy eradicated the varices, and she had a successful pregnancy, in which the varices recurred. No gastrointestinal bleeding was seen during the pregnancies. There were toxemia in 1 edema in 2, anemia in 3, cesarean section in 10, puerperal endometritis in 4 and puerperal thrombophlebitis of the leg in 2 pregnancies. One spontaneous abortion and 12 live births among them with 3 preterm infants were encountered. All newborns were healthy and appropriate for their gestational age. The authors review the maternal as well as fetal complications and discuss the current management for pregnant women with EPH.

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Bleeding oesophageal varices with long term follow up.

Cited by 28 publications

References 20 publications

Sonographic Evaluation of Portal Hypertension in Children

Sonographic Evaluation of Portal Hypertension in Children

Portale Hypertension und Ösophagusvarizen

Pregnancy and Extrahepatic Portal Hypertension

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