Long term outcome after surgery for extrahepatic portal vein thrombosis.

Late Results of a Modified New Surgical Procedure for the Treatment of Portal Hypertension

“…Comparing our results with shunt surgery, until 1990 most reports described an incidence of shunt occlusion of up to 60 % and a rebleeding rate of 45 % with a 10 -20 % mortality rate [1,3,4,8]. In the last decade, an improvement in the operative technique resulted in a 44% rebleeding rate due to shunt thrombosis in eleven children with shunt surgery [13], and a patency rate of 96 %, with an average follow-up of 5.8 years in twenty-two children with shunt surgery [20]. There were two late deaths, and morbidity occurred in three cases, with cirrhosis in two and one patient with extra-hepatic portal hypertension who suffered from post-shunt encephalopathy.…”

“…The treatment of portal hypertension in children presents a major problem [3,4,6,9,13,18,20,22,23]. The ideal form of treatment has not yet been established and a number of options are available.…”

Long‐term outcome after sclerotherapy withor without a beta‐blocker for variceal bleeding in children

“…Surgical porto­systemicshunts provide some protection against rebleeding, but a numberof difficulties have been reported in performing portosystemic shuntson children, namely recurrence of varices, shunt thrombosis, encephalopathy,neuropsychiatric and behavioral problems and infections 2−4 . Reports of surgicalprocedures have shown variable rates of success 1,4−8 . Moreover,shunt surgery has its own mortality and morbidity.…”

Prenatally diagnosed portocaval shunt and postnatal outcome: a case report

“…Liver failure, hepatic encephalopathy and liver lesions, both benign and malignant have been documented. Favourable outcome for surgical portocaval shunt created deliberately following extrahepatic portal venous obstruction is well known (Li et al, 2000;Losty et al, 1994;Maksoud and Goncalves, 1994;Orloff et al, 1994;Prasad et al, 1994).…”