Extrahepatic Portal Hypertension: Quality of Life and Somatic Growth After Surgery

• DOI: 10.1055/s-2004-830341
• Publication Date: 2005-05-06T08:54:34Z
• Authors: P. Menon; K. L. N. Rao; A. Bhattacharya; B. R. Thapa; S. K. Chowdhary; J. K. Mahajan; R. Samujh
• Keywords: Male; Adolescent; 03 medical and health sciences; Child Development; 0302 clinical medicine; Child, Preschool; Hypertension, Portal; Quality of Life; Splenectomy; Humans; Portasystemic Shunt, Surgical; Female; Prospective Studies; Child; Growth Disorders

Aim: This study was carried out in order to determine whether children with extrahepatic portal hypertension show any improvement growth parameters and quality of life after elective surgery. Patients Methods: All patients who underwent surgery between April 1999 March 2002 were studied prospectively. Height weight before converted into Z scores for comparison. The assessed by changes scholastic ability, physical activity, social interaction, economic effects on the family. Results: At end a minimum follow-up period 1 year, 30 children, 50 % 76 showed height scores, respectively, compared their while medical management. below - 2 SD seen 57 37 prior surgery, only 40 20 %, respectively at follow-up, which ranged from 4 years. more those had undergone splenectomy either devascularization or central splenorenal shunt side-to-side lienorenal without splenectomy. dropped school management, rejoined attended vocational courses There an performance activity 85 children. Improvement personality 73 affected patients. cost incurred one-third amount spent Conclusions: Growth improved significantly surgical intervention hypertension. Overall abilities, interaction noted majority As one-time procedure developing country, is also effective.