Vidales-Nieto E, Medina-Vega A, Santos-Jasso K

Language: Spanish
References: 20
Page: 89-98
PDF size: 221.67 Kb.

ABSTRACT

Background. The Warren procedure for the management of portal hypertension in adults has shown great results in order to control bleeding with very few adverse events; in pediatrics there is limited evidence in worldwide literature. The aim of this study is to report our experience.
Methods. A five year retrospective study was performed in patients with portal hypertension, surgical bleeding, duration of surgery, diameter of the anastomoses, complications, preoperatory and postoperatory platelet count, and classification of esophageal varices pre and postoperatory were all evaluated.
Results. 12 patients underwent Warren procedure with portal hypertension without hepatic failure. Average bleeding was 159cc, average surgical time was 5hrs 15 min, and the diameter of the anastomoses goes between 7 to 17mm. No surgical limitations were reported because of the vessels diameter. The reported complications are heart failure and thrombosis. There was no significant variation with pre and postoperative varices (p=0.705) however the bleeding events and platelet count improved statistically significant (p‹0.05)
Conclusions. The Warren procedure is a safe procedure, with excellent results and very few complications.

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