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Review
. 2018 Nov;22(4):735-752.
doi: 10.1016/j.cld.2018.06.007. Epub 2018 Aug 22.

Cirrhosis and Portal Hypertension in the Pediatric Population

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Review

Cirrhosis and Portal Hypertension in the Pediatric Population

Catherine A Chapin et al. Clin Liver Dis. 2018 Nov.

Abstract

Cirrhosis is a complex process in which the architecture of the liver is replaced by structurally abnormal nodules due to cirrhosis. Cirrhosis frequently leads to the development of portal hypertension. In children, portal hypertension may be caused by a wide range of etiologies, including extrahepatic portal vein obstruction, biliary atresia, alpha 1 antitrypsin deficiency, and autoimmune hepatitis. Gastroesophageal varices and ascites are two of the complications of portal hypertension likely to cause morbidity and mortality. This review also discusses extrahepatic manifestations of portal hypertension and treatment options.

Keywords: Ascites; Biliary atresia; Children; Cirrhosis; Esophageal varices; Portal hypertension.

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