Çocuk Sağlığı ve Hastalıkları Dergisi 2008 , Vol 51 , Num 2
Posthepatic portal hypertension in children
Maşallah Baran1, Hasan Ali Yüksekkaya1, Murat Çakır1, Gökhan Tümgör1, Çiğdem Arıkan1, Murat Kılıç2, Raşit Vural Yağcı3, Sema Aydoğdu3
1Ege Üniversitesi Tıp Fakültesi Pediatri Uzmanı
2Ege Üniversitesi Tıp Fakültesi Genel Cerrahi Doçenti
3Ege Üniversitesi Tıp Fakültesi Pediatri Profesörü
Baran M, Yüksekkaya HA, Çakır M, Tümgör G, Arıkan Ç, Kılıç M, Yağcı RV, Aydoğdu S. (Department of Pediatrics, General Surgery, Ege University Faculty of Medicine, İzmir, Turkey). Posthepatic portal hypertension in children. Turk J Pediatr 2008; 51: 75-80.

In this study, we analyzed the clinical findings, etiologies, treatments and prognosis of 16 children with posthepatic portal hypertension who were followed in the Department of Pediatric Gastroenterology Hepatology-Nutrition and Liver Transplantation Center of Ege University. Ages of patients were between 1-17 years (Female/Male: 9/7, mean age 10.8 years). Biochemical, histopathological, hematological, and serologic results, and ultrasonographic, endoscopic, cardiologic and angiographic findings were reviewed in all patients. Ascites was found in 13 patients (85%). In this study, the most common reasons for portal hypertension, in order of frequency, were Budd-Chiari syndrome (50%), complication of liver transplantation (31%), constrictive pericarditis (13%) and congenital vena cava obstruction (0.6%). Hypoalbuminemia and hyponatremia were the most serious biochemical findings. Histopathological findings of all patients except those with liver transplantation were compatible with early and advanced stages of cirrhosis. Anahtar Kelimeler : posthepatik portal hipertansiyon, Budd-Chiari sendromu, etiyoloji, prognoz, posthepatic portal hypertension, Budd-Chiari syndrome, etiology, prognosis

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