Management of Portal Hypertension in Children
作者： Elizabeth Mileti , Philip Rosenthal
DOI: 10.1007/S11894-010-0151-Y
关键词: General surgery 、 Complication 、 Sclerotherapy 、 Etiology 、 Ligation 、 Balloon tamponade 、 Portal hypertension 、 Medicine 、 Octreotide 、 Liver transplantation
摘要: Management of portal hypertension in children has evolved over the past several decades. Portal can result from intrahepatic or extrahepatic causes. should be tailored to child based on etiology and functionality liver. The most serious complication is gastroesophageal variceal bleeding, which a mortality up 30%. Initial treatment bleeding focuses stabilizing patient. Further measures may include endoscopic, medical, surgical interventions as appropriate for child, depending cause hypertension. β-Blockers have not been proven effectively prevent primary secondary children. Sclerotherapy band ligation used stop active occurring. Transjugular portosystemic shunts reserved those who are candidates transplant refractory despite medical endoscopic treatment.
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