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October 1952

SPLENIC STUDIES: II. Portal Hypertension in Children Associated with Gastroesophageal Hemorrhage

Author Affiliations

From the Department of Surgery, James Whitcomb Riley Hospital, Indiana University Medical Center; aided in part by a grant from the James Whitcomb Riley Memorial Association.

AMA Arch Surg. 1952;65(4):499-510. doi:10.1001/archsurg.1952.01260020515002

PORTAL hypertension associated with gastroesophageal hemorrhage constitutes a perplexing problem and a particularly difficult one from the point of view of clinical management. It has been the subject of intensive study in recent years, especially from the standpoint of its role in treatment of venous shunts made between the portal and vena caval systems.1 Because certain aspects of the disorder may differ in children and in adults and because of the paucity of recorded data relating specifically to the management of portal hypertension in children, we have been led to report our own observations.

This study is concerned with an analysis of the fate of portal hypertension associated with gastroesophageal hemorrhage in 21 patients whose symptoms began before the age of 15. In all but one definitive treatment was started at 14 or an earlier age. During the period covered, one additional child was admitted to the hospital with