Bypass iliac-mesenteric-cava inpatients under two years of age. Case report and literature review
Introduction: In the treatment of portal hypertension in pediatric patients, some type of porto-systemic shunt is indicated, which is an unusual surgical procedure in patients under two years of age, due to the low incidence of this disease at this age and the increase in the number of complications...
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| Format: | Article |
| Language: | Spanish |
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Instituto Nacional de Pediatría
2014-07-01
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| Series: | Acta Pediátrica de México |
| Subjects: | |
| Online Access: | http://ojs.actapediatrica.org.mx/index.php/APM/article/view/687 |
| _version_ | 1818082556840509440 |
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| author | Villanueva López Noé Santos Jasso Karla Alejandra Martínez Pérez María Alicia |
| author_facet | Villanueva López Noé Santos Jasso Karla Alejandra Martínez Pérez María Alicia |
| author_sort | Villanueva López Noé |
| collection | DOAJ |
| description | Introduction: In the treatment of portal hypertension in pediatric patients, some type of porto-systemic shunt is indicated, which is an unusual surgical procedure in patients under two years of age, due to the low incidence of this disease at this age and the increase in the number of complications. Objective: We present our experience and results with this procedure in patients under two years of age seen in the Hepatobiliopancreatic general surgery service at Instituto Nacional de PediatríaDiscussion: The causes of portal hypertension in children are varied. Among the extrahepatic causes, the most common is cavernomatous portal degeneration. Children with portal hypertension under two years have severe symptoms such as recurrent gastrointestinal bleeding or anemia; others have hypersplenism data. In many cases medical management is useless and a surgical procedure require such as a portosystemic shunt in order to decrease the size of varicose esophageal veins and prevent bleeding that threatens the patient’s life. Conclusion: The iliac-mesenteric-caval shunt in patients under two years is a feasible alternative that improves the clinical status of the patient, reducing the risk of bleeding. However long-term studies are needed to determine the outcome of these patients. Keywords: Iliac-mesenteric-caval shunt, portal hypertension. |
| first_indexed | 2024-12-10T19:23:59Z |
| format | Article |
| id | doaj.art-08e4aaf0c1b948f88471784c0a266b72 |
| institution | Directory Open Access Journal |
| issn | 0186-2391 2395-8235 |
| language | Spanish |
| last_indexed | 2024-12-10T19:23:59Z |
| publishDate | 2014-07-01 |
| publisher | Instituto Nacional de Pediatría |
| record_format | Article |
| series | Acta Pediátrica de México |
| spelling | doaj.art-08e4aaf0c1b948f88471784c0a266b722022-12-22T01:36:24ZspaInstituto Nacional de PediatríaActa Pediátrica de México0186-23912395-82352014-07-0135213013610.18233/APM35No2pp130-136689Bypass iliac-mesenteric-cava inpatients under two years of age. Case report and literature reviewVillanueva López Noé0Santos Jasso Karla AlejandraMartínez Pérez María AliciaActa Pediátrica de MéxicoIntroduction: In the treatment of portal hypertension in pediatric patients, some type of porto-systemic shunt is indicated, which is an unusual surgical procedure in patients under two years of age, due to the low incidence of this disease at this age and the increase in the number of complications. Objective: We present our experience and results with this procedure in patients under two years of age seen in the Hepatobiliopancreatic general surgery service at Instituto Nacional de PediatríaDiscussion: The causes of portal hypertension in children are varied. Among the extrahepatic causes, the most common is cavernomatous portal degeneration. Children with portal hypertension under two years have severe symptoms such as recurrent gastrointestinal bleeding or anemia; others have hypersplenism data. In many cases medical management is useless and a surgical procedure require such as a portosystemic shunt in order to decrease the size of varicose esophageal veins and prevent bleeding that threatens the patient’s life. Conclusion: The iliac-mesenteric-caval shunt in patients under two years is a feasible alternative that improves the clinical status of the patient, reducing the risk of bleeding. However long-term studies are needed to determine the outcome of these patients. Keywords: Iliac-mesenteric-caval shunt, portal hypertension.http://ojs.actapediatrica.org.mx/index.php/APM/article/view/687derivación ilíaca.mesentérico-cavahipertensión portal |
| spellingShingle | Villanueva López Noé Santos Jasso Karla Alejandra Martínez Pérez María Alicia Bypass iliac-mesenteric-cava inpatients under two years of age. Case report and literature review Acta Pediátrica de México derivación ilíaca.mesentérico-cava hipertensión portal |
| title | Bypass iliac-mesenteric-cava inpatients under two years of age. Case report and literature review |
| title_full | Bypass iliac-mesenteric-cava inpatients under two years of age. Case report and literature review |
| title_fullStr | Bypass iliac-mesenteric-cava inpatients under two years of age. Case report and literature review |
| title_full_unstemmed | Bypass iliac-mesenteric-cava inpatients under two years of age. Case report and literature review |
| title_short | Bypass iliac-mesenteric-cava inpatients under two years of age. Case report and literature review |
| title_sort | bypass iliac mesenteric cava inpatients under two years of age case report and literature review |
| topic | derivación ilíaca.mesentérico-cava hipertensión portal |
| url | http://ojs.actapediatrica.org.mx/index.php/APM/article/view/687 |
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