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Recent Trends in the Endoscopic Management of Variceal Bleeding in Children

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주제분류소아과학

초록

Variceal bleeding results in significant morbidity and mortality in both children and adults. The guidelines for themanagement of variceal bleeding are well established in adults but not in children as there have been insufficientpediatric studies of this disorder. In addition, the adult guidelines for treatment of variceal bleeding cannot be applieddirectly to children as the etiology and natural course of this disease differs between children and adults. Examplesof recommended treatments in children include endoscopic variceal ligation as secondary prophylaxis for biliaryatresia whereas a meso-Rex shunt operation for extrahepatic portal vein obstruction. In this review, we discuss prophylaxisoptions and some technical aspects of endoscopic management for variceal bleeding in children. (PediatrGastroenterol Hepatol Nutr 2013; 16: 1∼9)

Abstract

Variceal bleeding results in significant morbidity and mortality in both children and adults. The guidelines for themanagement of variceal bleeding are well established in adults but not in children as there have been insufficientpediatric studies of this disorder. In addition, the adult guidelines for treatment of variceal bleeding cannot be applieddirectly to children as the etiology and natural course of this disease differs between children and adults. Examplesof recommended treatments in children include endoscopic variceal ligation as secondary prophylaxis for biliaryatresia whereas a meso-Rex shunt operation for extrahepatic portal vein obstruction. In this review, we discuss prophylaxisoptions and some technical aspects of endoscopic management for variceal bleeding in children. (PediatrGastroenterol Hepatol Nutr 2013; 16: 1∼9)

참고문헌 (52)

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