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Title: [Extrahepatic portal hypertension. Azygos-portal disconnection]. Author: Schütte H, Aguirre J, Ibáñez R, Alcoholado I, Samith S, Larraín F. Journal: Rev Chil Pediatr; 1990; 61(5):271-4. PubMed ID: 2089496. Abstract: The partial or complete obstruction of portal vein and or one of its branches is the most frequent cause of portal hypertension in children. A patient with extrahepatic portal hypertension and progressive course is presented, with great development of esophagogastric varices and multiple episodes of upper gastrointestinal hemorrhage. At the age of 9 years he was submitted to an azygos-portal disconnection by abdominal route, with manual transection of the esophagus, covered and protected by a gastric fundoplication. Postoperative endoscopic control demonstrated significant reduction in the size of esophageal varices and disappearance of gastric varices. Eleven months after surgery the patient was asymptomatic and a new endoscopic control showed no recurrence of varices.[Abstract] [Full Text] [Related] [New Search]