+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Handling of Esophageal Varices in Children



Handling of Esophageal Varices in Children



Revista de Gastroenterologia del Peru 18 Suppl 1: 29-37



We present a discussion of the different therapeutical methods known for children who suffer Portal Hypertension and Esophageal varices, putting special emphasis on the handling of digestive bleeding. We are also taking into account that there are important differences and similarities between the paediatric and adult populations in the handling of diagnosis as well as in the therapy.Upper Digestive Hemorrhage due to esophageal varice rupture is the major and most expectacular complication of Portal Hypertension in children, being the extrahepatic obstruction the most frequent etiology in our population. Hemorrhage due to varices is generally observed in 2?year?old children, rarely in infants, except for those cases where the etiology is intrahepatic.Lately, Sclerotherapy has become the fundamental basis for the treatment of esophageal varices. With this therapy, the relapse of early or late bleedings is rare, allowing to increase survival in those cases where the origin is intrahepatic, and it offers a better prognosis in theextraheptatic ones. This is the procedure regarding which we have the most experience.Other methods are mentioned as the varice endoligatation, the use of drugs and surgical handling which are still limited.

(PDF emailed within 1 workday: $29.90)

Accession: 046211347

Download citation: RISBibTeXText

PMID: 12271333


Related references

Comparison of intravascular pressure in esophageal varices and the size of varices in patients with liver cirrhosis, with or without esophageal hemorrhage from the varices. Schweizerische Rundschau für Medizin Praxis 74(51): 1425-1426, 1985

Screening of esophageal varices in children using esophageal capsule endoscopy: a multicenter prospective study. Endoscopy 2018, 2018

Evaluation of esophageal varices and predicting the risk of esophageal varices bleeding with multi-detector CT in patients with portal hypertension. Zhonghua Yi Xue Za Zhi 90(41): 2911-2915, 2011

Endoscopic ultrasonography assessment of para-esophageal varices predicts efficacy of propranolol in preventing recurrence of esophageal varices. Journal of Gastroenterology 50(3): 342-349, 2015

Endoscopic ligation of esophageal varices: prevention of hemorrhagic recurrences caused by rupture of esophageal varices. Results in 45 patients. Gastroenterologie Clinique et Biologique 19(11): 909-913, 1995

Utility of measuring para-esophageal varices using computed tomography to select endoscopic treatment for patients with esophageal varices. Digestive Endoscopy 2019, 2019

High frequency endoluminal sonography of esophageal varices using a 20 mhz ultrasound transducer compared to endoscopic grading of the size of esophageal varices. Gastroenterology 102(4 PART 2): A853, 1992

Ligation of esophageal varices as a therapeutic method in upper diagestive hemorrhages caused by rupture of esophageal varices. Revista de Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie 26(1): 49-54, 1977

Hemodynamic assessment of the left gastric vein in patients with esophageal varices with color Doppler EUS: factors affecting development of esophageal varices. Gastrointestinal Endoscopy 55(4): 512-517, 2002

Endoscopic sclerotization of esophageal varices and nitrates in the treatment of portal hypertension with bleeding esophageal varices. Sbornik Lekarsky 93(9-10): 301-307, 1991

A rat esophageal varices model by partial portal vein ligation: Endoscopic examination of rat esophageal varices. Japanese Archives of Internal Medicine 39(5): 125-134, 1992

Changes in esophageal function caused by sclerotherapy of esophageal varices in children and adolescents with portal hypertension--a manometric study. Zeitschrift für Kinderchirurgie 45(2): 92-97, 1990

Portal hypertension and bleeding esophageal varices in children. Esophageal transection with paraesophagogastric devascularization versus shunting procedures. La Pediatria Medica E Chirurgica 3(4): 263-268, 1981

Liver stiffness measurement by acoustic radiation force impulse is useful in predicting the presence of esophageal varices or high-risk esophageal varices among patients with HCV-related cirrhosis. Journal of Gastroenterology 49(7): 1175-1182, 2015

Platelet count/bipolar spleen diameter ratio for the prediction of esophageal varices: The special Egyptian situation: Noninvasive prediction of esophageal varices. Hepatitis Monthly 11(4): 278-284, 2011