The management of children with portal hypertension has evolved significantly over the past two decades. Improved survival in these patients has resulted from: (a) progress in the pharmacologic control of acute portal hypertensive hemorrhage; (b) improved efficacy and safety of endoscopic methods to treat acute esophageal variceal hemorrhage, which also reduce the risk of rebleeding; (c) recognition of the role for advanced surgical therapy (portocaval shunts); and (d) improved outcomes following pediatric liver transplantation as a definitive treatment for children with end-stage liver disease or life-threatening complications of portal hypertension.
KeywordsPortal Hypertension Transjugular Intrahepatic Portosystemic Shunt Biliary Atresia Variceal Hemorrhage Left Portal Vein
- Zollinger RM, Zollinger RM. Atlas of surgical operations. New York: Macmillan; 1975.Google Scholar