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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

HARRIS D., Paul  y  BRINCK M., Patricio. Un análisis retrospectivo de cavernomatosis de la vena porta en Chile.: I. Perfil clínico y de laboratorio. Rev. chil. pediatr. [online]. 1999, vol.70, n.3, pp.188-193. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41061999000300003.

A retrospective study of portal vein cavernomatosis (PVC) in Chile. I. Clinical and laboratorial aspects Objective: to evaluate the clinical profile of PVC in the Chilean population, especially those para-meters useful for its early diagnosis. Patients and Methods: in 34 patients with PVC, demografics, clinical and perinatal history and laboratory examinations were studied. Results: at the time of diagnosis the average age was 3.4 ± 2.8 yrs (± 1 SD). Intestinal haemorrhage and splenomegaly were the predominant presenting manifestations of the disease and reason for referral. 11.8% of the children have had prior umbilical catheterisation and 22.6% associated malformations. The diagnosis was confirmed using porto-splenic venography or Doppler USS in the more recent cases. Conclusion: Only 1/3 of the cases presented with known risk factors for PVC, with Doppler USS being the investigation of choice, with confirmed cases requiring endoscopy to determine the co-existance of gastric and/or esophageal varices.

Palabras clave : Portal Vein Cavernomatosis; Portal hypertension; esophageal varices.

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