The endoscopic and surgical management of portal hypertension in children: Analysis of 123 cases

Long term outcome after surgery for extrahepatic portal vein thrombosis.

“…14 In this patient population extrahepatic venous obstruction secondary to portal vein thrombosis is a common finding.3-5 Despite improvements in understanding the natural history and pathophysiology of portal vein thrombosis, therapeutic strategies in managing extrahepatic portal hypertension in this subgroup of patients continues to remain controversial. 3 8 A variety of surgical operations have been popularised, all with the aim of providing reasonable expectations for long term, good quality survival for the patients concerned.…”

Splenic artery embolisation for portal hypertention in children

“…[10][11][12] (where higher-grade varices were present, patient compliance for follow-up was doubtful).…”

Percutaneous transjugular intrahepatic stent shunt for treatment of intractable varicose bleeding in paediatric patients

“…Portosystemic shunt operations secondary to endoscopic sclerotherapy have proved the most effective therapy for prevention of rebleeding [1,2,8,14]. In children, shunt surgery and varix ligation are associated with a considerable failure rate, mainly because of technical problems due to vessel diameter [4,5]. In adult patients, elective shunt operations are associated with a 5%-15% mortality rate [8,14].…”