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Review
. 2012 Mar 21;18(11):1176-84.
doi: 10.3748/wjg.v18.i11.1176.

Management of portal hypertension in children

Affiliations
Review

Management of portal hypertension in children

Roberto Gugig et al. World J Gastroenterol. .

Abstract

Portal hypertension can be caused by a wide variety of conditions. It frequently presents with bleeding from esophageal varices. The approach to acute variceal hemorrhage in children is a stepwise progression from least invasive to most invasive. Management of acute variceal bleeding is straightforward. But data on primary prophylaxis and long term management prevention of recurrent variceal bleeding in children is scarce, therefore prospective multicenter trials are needed to establish best practices.

Keywords: Children; Portal hypertension; Variceal hemorrhage.

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Figures

Figure 1
Figure 1
Portal hypertension. EST: Endoscopic sclerotherapy; EVL: Endoscopic variceal band ligation; TIPS: Transjugular intrahepatic portosystemic shunt.

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