18. Portal Hypertension in Children: Current Practice and the Need for Evidence

  1. Roberto de Franchis MD, AGAF Professor of Gastroenterology Head
  1. Simon C Ling MBChB Associate Professor1 and
  2. Benjamin L Shneider MD Professor Director2

Published Online: 17 NOV 2010

DOI: 10.1002/9781444393989.ch18

Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition

Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition

How to Cite

Ling, S. C. and Shneider, B. L. (2011) Portal Hypertension in Children: Current Practice and the Need for Evidence, in Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition (ed R. de Franchis), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444393989.ch18

Editor Information

  1. Department of Medical Sciences, University of Milan, and Gastroenterology 3 Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Mangiagalli and Regina Elena Foundation, Milan, Italy

Author Information

  1. 1

    Division of Gastroenterology, Hepatology & Nutrition, The Hospital for Sick Children and University of Toronto, Ontario, Canada

  2. 2

    Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Publication History

  1. Published Online: 17 NOV 2010
  2. Published Print: 14 JAN 2011

ISBN Information

Print ISBN: 9781444334494

Online ISBN: 9781444393989

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Keywords:

  • portal hypertension in children - current practice and need for evidence;
  • portal hypertension in children - complications with significant morbidity and mortality;
  • portal hypertension in children - different from those that are seen in adults;
  • portal vein thrombosis in children - different clinical course, with different therapeutic approaches;
  • size-related issues, potential to impact - management of portal hypertension in children;
  • weight-based dosing - routinely utilized in paediatrics;
  • child with biliary atresia, upper gastrointestinal bleed - and red cell transfusions;
  • children undergoing primary prophylaxis with NSBBs - endoscopic sclerotherapy (EST, four studies) or EVL;
  • evidence for management of AVB in children - being weak;
  • studies of secondary prophylaxis in children

Summary

This chapter contains sections titled:

  • Introduction

  • Survey of current expert practice

  • Evidence supporting current paediatric practice

  • Challenges undertaking controlled studies of children with portal hypertension

  • Conclusions

  • References