Portal hypertension in children.

Chiara Grimaldi, Jean de Ville de Goyet, Valerio Nobili

Department of Paediatric Surgery and Transplantation Center, Bambino Gesù Childrens Hospital, Roma, Italy.

Clinics and research in hepatology and gastroenterology 2012 Jun

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The main causes of intrahepatic portal hypertension in children are cirrhosis and congenital hepatic fibrosis. Non cirrhotic portal hypertension in children is mostly due to extrahepatic portal vein obstruction. In half of cases, no underlying disorder is found. The meso-Rex bypass is the preferred treatment, when it is possible. The closest to the portal vein the obstruction, the highest the risk of esophagogastric varices. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Citation

Chiara Grimaldi, Jean de Ville de Goyet, Valerio Nobili. Portal hypertension in children. Clinics and research in hepatology and gastroenterology. 2012 Jun;36(3):260-1