Resumo

ANDRADE RUISECO, Mabel; GARCIA PEREZ, Wladimiro  e  SILVERIO GARCIA, Cesar. Portal hypertension in children: analysis of 20 years of practice. Rev Cubana Pediatr [online]. 2010, vol.82, n.1, pp. 0-0. ISSN 1561-3119.

INTRODUCTION: In "William Soler" Children Hospital from 1987 the esophageal varices sclerosis is used as an urgency or prophylactic therapy in case of digestive hemorrhage in children presenting with portal hypertension and esophageal varices. The aim of present research was to show the clinicotherapeutical results obtained in 144 children seen in this hospital, some of them during twenty years. METHODS: Medical records and endoscopic reports of 50 girls and 94 boys seen in the Hepatology Service of the "William Soler" University Hospital were reviewed. Data related to medical treatment and the varices sclerosis were analyzed. RESULTS: This report includes 111 patients (77,1%) with prehepatic portal hypertension (PHP) and 33 (22,9%) with hepatic PHP. The mean age of onset of clinical manifestations was of 4,6 years for the prehepatic PHP and of 6,9 years for the hepatic one. The ways of presentation were splenomegalia (41,6%) and digestive hemorrhage (35,4%). A total of 104 patients underwent varices endoscopic sclerosis (3,9 sessions by patient): 39,4% of urgency type and 60,3% as prophylaxis of hemorrhagic varices. There were 83 complications where the more frequent included re-bleeding (36,1%) and esophageal stenosis (28,9%). Eleven children deceased during follow-up. CONCLUSIONS: In our series, varices endoscopic sclerosis was effective for treatment of active hemorrhage of esophageal varices and as its prophylaxis.

Palavras-chave : Portal hypertension; esophageal varices; varices sclerosis.

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