Radical treatment of extrahepatic portal hypertension in children

Razumovskiĭ, A.I.; Danzhinov, B.P.; Rachkov, V.E.; Kuleshov, B.V.; Geodakian, O.S.; Feoktistova, E.V.; Zhidkova, E.A.; Galibin, I.E.; Zakharov, A.I.; Fedin, A.V.; Kuznetsova, Z.I.

Khirurgiia 7: 17-21

2003


ISSN/ISBN: 0023-1207
PMID: 12926334
Document Number: 559352
Results of radical correction of extrahepatic portal hypertension in 25 children are presented. It is demonstrated that this surgery is feasible in 38.5% patients with this disease. Feasibility of surgery is based on the results of revision of hepatic vessels after laparotomy. The existing diagnostic methods don't permit one to predict feasibility of this bypass variant before surgery. It is demonstrated that this surgery leads not only to elimination of hemorrhage risk but also to complete reconstruction of portal perfusion and cure of portosystemic encephalopathy and hyperdynamic cardial syndrome. Surgeries are successful at any age, and also in of hemorrhage peak.

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