Results of surgical treatment of juvenile portal hypertension. Analysis of 31 vascular shunts

• Published in: Anales españoles de pediatría Vol. 19; no. 3; p. 220
• Main Authors: Valoria Villamartín, J M, Digiuni Avalis, E M, Pérez Tejerizo, G, García Almendros, V
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.09.1983
• Subjects: Adolescent; Child; Child, Preschool; Evaluation Studies as Topic; Female; Humans; Hypertension, Portal - surgery; Male; Mesenteric Veins - surgery; Portacaval Shunt, Surgical; Postoperative Complications; Splenorenal Shunt, Surgical; Vascular Surgical Procedures; Vena Cava, Inferior - surgery
• ISSN: 0302-4342

Thirty-one patients with ages ranging from 4 to 16 years (average 10.3 years) with portal intrahepatic hypertensión 15 and extrahepatic hypertensión 15 are presented. Decompressive surgery on an electrive basis was carried out in all patients but one in whom it was applied as a prophylactic procedure. Twelve portocaval and five splenorrenal shunts were performed in the first group while twelve mesentericocaval and five splenorrenal shunts were carried out on the second one. The overall postoperative mortality was 12.90% (three patients from the first group and one from the second one). Anastomotic thrombosis was 19.35% (one patient from the first group and five from the second one). Recurrent hemorrhage was 3.22% (one patient in the second group). Neither encephalopathy nor long-term mortality has been noticed on survivors of both groups that were followed up from three months to fifteen years. Comments are made emphasizing the importance of surgical technical aspects as well as the surgical control of the anastomotic permeability in order to achieve better results that will make possible to increase the number of indications and their precocity.