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  • Title: [Portal hypertension in children. Therapeutic approach in cases of failure of a portosystemic shunt].
    Author: Heloury Y, Valayer J, Hay JM, Gauthier F, Alagille D.
    Journal: Chir Pediatr; 1986; 27(3):143-7. PubMed ID: 3769113.
    Abstract:
    88 porto systemic shunts were performed between 1977-1985; 14 failures were observed. These failures occurred in ten children with extra-hepatic portal obstruction and in four with intra-hepatic obstruction. The treatment of these failures was different in these two groups: 7 reoperations in the extra-hepatic obstruction, none in the intra-hepatic. That reoperation is often not suitable in the intrahepatic obstruction because of the hepatic failure. The use of sclerotherapy or the beta receptor blocking agents is discussed in this group.
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