Novosti
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Year 2009 Vol. 17 No 2
PEDIATRIC SURGERY
V.I. AVERIN, A.V. ZAPOLYANSKY
SURGICAL METHODS OF PORTAL HYPERTENSION TREATMENT IN CHILDREN
The results of azygoportal disconnection, performed in 105 children with portal hypertension, treated in the Center of Pediatric Surgery from 1984 till 2003 were studied by us.
We performed 132 operations. The average age of children was 6,2±3,5 years. We had to operate 23 children from 105 twice, and 2 patients were operated three times. We analyzed 5 kinds of operations: esophageal transsection (in 11 patients), Pacioriґs operation (in 10 patients), splenectomy with collaterals ligation (in 14 patients), esophageal reimplantation (in 30 patients), and esophageal ligation on prosthesis (in 53 patients). 39 (37,1%) patients had a complicated postoperative course. We observed recurrent esophageal-gastric bleeding in 41 (39%) patients 3,7±2,5 years (median 3 years) after operation.
High percentage of post-operative complications and recurrent bleeding put certain limitations on the usage of operations of azygoportal disconnection in children with extrahepatic portal hypertension.
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