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Portal Hypertension pp 383–410Cite as

Causes and Management of Portal Hypertension in the Pediatric Population

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Part of the book series: Clinical Gastroenterology ((CG))

Abstract

The survival of children with portal hypertension has improved over the past decade owing to significant improvements in both medical and surgical therapy. These improvements have included progress in the pharmacologic control of acute portal hypertensive hemorrhage and improved efficacy and safety of endoscopic methods to treat acute esophageal variceal hemorrhage. However, despite these changes, there remains a significant role for advanced surgical therapy using portocaval shunts in children with gastrointestinal hemorrhage were significant sequela of portal hypertension. In addition, patience with both irreversible liver disease and portal hypertension have benefited from the improved success with pediatric liver transplantation as a definitive treatment for children with end-stage liver disease. This review will primarily examine the role of surgical therapy for children with progressive portal hypertension.

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Authors and Affiliations

  1. Department of Surgery, University of Cincinnati, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

    Frederick C. Ryckman MD, Maria H. Alonso MD & Greg Tiao MD

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  1. Frederick C. Ryckman MD
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  2. Maria H. Alonso MD
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Editors and Affiliations

  1. Division of Gastroenterology, Virginia Commonwealth Medical Center, Richmond, VA

    Arun J. Sanyal MBBS, MD

  2. GI Research Unit, Mayo Clinic, Rochester, MN

    Vijay H. Shah MD

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Ryckman, F.C., Alonso, M.H., Tiao, G. (2005). Causes and Management of Portal Hypertension in the Pediatric Population. In: Sanyal, A.J., Shah, V.H. (eds) Portal Hypertension. Clinical Gastroenterology. Humana Press. https://doi.org/10.1007/978-1-59259-885-4_24

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  • DOI: https://doi.org/10.1007/978-1-59259-885-4_24

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