Treatment of upper gastrointestinal bleeding in portal hypertension in children

Variceal bleeding is the most common cause of severe gastrointestinal bleeding in chilhood. Biliary atresia and portal venous obstruction are the most common causes. The patients with acute bleeding, pharmacotherapy with octreotide should be used immediately. All of these patients should undergo the...

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Bibliographic Details
Published in:	Tunisie Medicale Vol. 85; no. 3; p. 184
Main Authors:	Mrad, Sonia Mazigh, Boukhthir, Samir, Oubich, Fayçal, Gharsallah, Lamia, Barsaoui, Sihem
Format:	Journal Article
Language:	French
Published:	Tunisia 01-03-2007
Subjects:	Child Esophageal and Gastric Varices - complications Esophageal and Gastric Varices - therapy Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - therapy Humans Hypertension, Portal - complications Hypertension, Portal - diagnosis Hypertension, Portal - therapy
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Summary:	Variceal bleeding is the most common cause of severe gastrointestinal bleeding in chilhood. Biliary atresia and portal venous obstruction are the most common causes. The patients with acute bleeding, pharmacotherapy with octreotide should be used immediately. All of these patients should undergo therapeutic endoscopy with band ligation. All children surviving variceal hemorrage should undergo secondary prophylaxis with band ligation. Transjugular intrahepatic portosystemic shunt creation in children is as safe in children than in adults. The primary prophylaxis in children with oesophageal varices is controversed.
ISSN:	0041-4131