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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: II. Hemorragia, tratamiento y pronóstico. Rev. chil. pediatr. [online]. 1999, vol.70, n.4, pp.294-299. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41061999000400005.

Objective: the treatment of prehepatic portal hypertension in children is controversial. The object of this retrospective study was to analise the evolution, treatment, morbidity and mortality in 34 children with portal vein cavernomatosis. Patients and methods: we analised the anthropomorphic and hae-matological evolution, the caracteristics of gastrointestinal (GI) bleeding, the medical, endoscopic and surgical treatment and the morbidity and mortality. Results: 74% presented with one or more episodes of GI bleeding, 56% received propanolol as prophylaxis and 38% had sclerotherapy of their oesphageal varices. Only six children needed surgery for porto-systemic shunts. The mortality was 5.6% with a follow-up of 3.6 years. Conclusions: Although upper GI bleeding from ruptured oesphageal varices was the most frequent complication of portal vein cavernomatosis in this series, the success of medical and endoscopic treatment to avoid rebleeding suggests that in the future a smaller number of patients will require surgery for porto-systemic shunts

Palabras clave : portal vein; cavernomatosis; portal hypertension.

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