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Childhood portal hypertension in Jamaica
West Indian med. j ; 44(3): 88-90, Sept. 1995.
Artigo em Inglês | LILACS | ID: lil-152462
Biblioteca responsável: JM3.1
ABSTRACT
Portal hypertension and bleeding from oesophageal varices in children remain a difficult medical problem. The clinical course and management of children with portal hypertension seen over a 14-year period was reviewed. There were 5 females and 2 males with a mean age of 3.6 years at presentation. Five patients presented with severe upper gastrointestinal bleeding and two with severe hypersplenism. All patients had extra-hepatic portal hypertension. Five patients were treated with endoscopic sclerotherapy, including one who had bleeding five years post-splenectomy. A mean of 9 sclerotherapy sessions was performed in each patient. Complete obliteration of varices was not achived in any patient and a single rebleeding episode occurred in four. Three children underwent operative management consisting of splenectomy in two and splenectomy and central spleno-renal shunt in one. There was no mortality in either group after a mean follow-up of 4.3 years. Sclerotherapy may not be totally successful in long-term management of childhood portal hypertension. Surgical therapy or a combination of sclerotherapy and surgery may be the best

approach:

Assuntos
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Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Varizes Esofágicas e Gástricas / Escleroterapia / Hipertensão Portal Tipo de estudo: Estudo observacional / Fatores de risco Limite: Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Assunto da revista: Medicina Ano de publicação: 1995 Tipo de documento: Artigo
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Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Varizes Esofágicas e Gástricas / Escleroterapia / Hipertensão Portal Tipo de estudo: Estudo observacional / Fatores de risco Limite: Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Assunto da revista: Medicina Ano de publicação: 1995 Tipo de documento: Artigo
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