Results of Surgical Treatment of Portal Hypertension in Children

Portal Hypertension

“…ascites, and edema, the liver function tests were still normal. Trusler et al (1962) and Foster et al ( 1963) found thru: the liver function tests were normal in cases of liver drrhos1s in children, whereas in adults these were always impaired. Fu1.1thermore, .the diagnosis of portal hypertensi-on can be established by rt:he demonstration of oesophageal varices by means of oesophagography or oesophagoscopy and must be confirmed by measufi.ng the portal venous pressure percwtaneously or surgically.…”

“…Kaye (1969) and Foster et al (1963) fownd thwt liver function tests were still normal in cases of extrahepatic portal hypertension. The first symptoms i.n the first years of life were ascites and hepatomegaly (Ehrlich et al, 1974).…”

Spinal Cord Paralysis Following Sclerotherapy for Esophageal Varices

“…In children, bleeding from esophageal varices is associated with considerable morbidity, and mortality rates ranging from 12 to 21% have been reported (6)(7)(8). The renewed interest in injection sclerotherapy as an acceptable alternative for shunting procedures has also been made manifest in the pediatric literature, but controlled trials are missing (6)(7)(8)(9). In adult patients, successful control of a variceal bleed was reported in 93% of unselected patients, with a dramatic reduction to 18% of the mortality rate during the episode of bleeding (10).…”