Late Results of a Modified New Surgical Procedure for the Treatment of Portal Hypertension

Mh, Kheradpir

doi:10.1055/s-2006-924603

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Nowadays, with experience gained in vascular and transplant surgery and the use of microsurgical techniques, reasonably good success rates can be achieved even in the smaller age-group by trained teams, and age should not be a criterion per se for, or indeed against, shunt surgery. [35][36][37][38][39][40][41][42][43] Although surgeons can now offer excellent technical outcomes even in smaller children, the indication for shunt surgery has dropped to very low figures, with liver transplantation being offered instead in many cases.…”

Section: Prehepaticmentioning

confidence: 99%

Surgical management of portal hypertension in children

Goyet

D’Ambrosio

Grimaldi

2012

Seminars in Pediatric Surgery

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Section: Prehepaticmentioning

confidence: 99%

Surgical management of portal hypertension in children

Goyet

D’Ambrosio

Grimaldi

2012

Seminars in Pediatric Surgery

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“…Subtotal splenectomy with omentopexy and partial splenic attachment is a good alternative to other operative procedures for the treatment of portal hypertension. Here, the increase in collateral circulation leads to rapid improvement [40].…”

Section: Splenectomy and Splenic Embolizationmentioning

confidence: 99%

Surgery for Portal Hypertension in Children

Scholz

Sharif

2011

Curr Gastroenterol Rep

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Management of children with portal hypertension has evolved considerably over the past decades. Development of physiologic shunts (meso-Rex bypass) and successful liver transplant has changed the paradigm of portal hypertension surgery. Children with pre-hepatic portal hypertension are investigated and, if suitable, candidates are offered the mesenteric-to-left portal vein bypass (meso-Rex) preemptively, before development of symptoms of portal hypertension. Aggressive medical management, endoscopic ligation of bleeding varices, and radiologically placed intrahepatic stents have greatly reduced the need for emergent surgical procedures. A larger number of surgical options offer a permanent solution for children with portal hypertension in the setting of well-compensated liver function. Portal hypertension in the setting of decompensated liver disease is managed medically (via endoscopy) or radiologically (via transjugular intrahepatic portosystemic shunt) with the aim to offer liver transplant as a permanent solution.

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