Management of extrahepatic portal hypertension in children

Objective To study the clinical types and treatment of extrahepatic portal hypertension in children. Methods 30 patients were analyzed. 13 cases of the prehepatic portal hypertension(43.3%) and 17 cases of Budd-Chiari Syndrome(56.7%) were treated. 20 cases were treated operatively and 10 nonoperatively. Result 10 cases of the prehepatic portal hypertension and 8 cases of Budd-Chiari Syndrome were treated successfully by surgery. 2 cases of Budd-Chiari Syndrome died after operation. Of nonoperative treatment, 8 cases were cured, but 2 of Budd-Chiari Syndrome died. Conclusion Children's portal hypertension was classified as pre and post hepatic types. Surgical treatment is a good choice. Surgery is more effective for prehepatic portal hypertension than for Budd-Chiari Syndrome.