EHPVO in Children

Sujay Chaudhuri, Division of Pediatric Gastroenterology, Department of Gastroenterology, PGIMER Chandigarh
2020 Journal of Medical Science And clinical Research  
EHPVO is an important problem in children. To find out incidence / investigational profile, clinical and therapeutic outcome of children with EHPVO with following study was performed. Method: The children (<12 years) who were admitted in Pediatric GE ward of PGIMER Chandigarh with history of UGI bleed suggestive of EHPVO from July 1993 to June 2003 were noted. Age / sex / clinical details like Haematemesis / Melaena / Splenomegaly / feature of liver disorder (ascites / jaundice / HE etc) /
more » ... ce / HE etc) / growth parameters / Neonatal history of umbilical catheterization / sepsis / investigation like USG whole abdomen / LFT / PT / Hemogram / UGI Endoscopy etc were noted. Results: Out of 50 cases of EHPVO, 30 were male and 20 female. Age was 3 -12 years (mean 6 years). History of umbilical catherisation / sepsis were present in 6% cases. Fifty out of 50 (100%) came with Haematemesis / 30 (60%) with combined Haematemesis / Melaena. There was no feature of liver failure in any case. USG shows normal hepatic echo texture with 40 cases (80%) having portal cavernoma, 30 (60%) having both portal cavernoma and splenic collateral, 10 (20%) having peri cholecystic collateral. Splenomegaly was present in all cases (100%). There was no colorectal Varix or Hemorrhoid. Gastic varix develop only after EVL / EST of Esophageal varix in 10 (20%) cases. EVL was successfully done 40 (80%) cases but 10 cases (20%) required EST due to technical problem. 5 (10%) cases required distal splenorenal shunt. All patients of EHPVO recovered from portal hypertension but 10 (20%) had growth failure. Conclusion: EHPVO being important cause of portal hypertension requires urgent management.
doi:10.18535/jmscr/v8i2.128 fatcat:kpqxabnqyfefdfdw2aytbuoqf4