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[Embolization of splenic artery in children with portal hypertension]

G S Adylova, Sh T Salimov, S P Borovskiĭ

    Khirurgiia
    |July 20, 2000
    PubMed

    Insights

    Embolization of the splenic artery (ESA) is a safe and effective treatment for children with portal hypertension. This procedure reduces spleen size, hypersplenism, and esophageal varices, improving overall health.

    Area of Science:

    • Pediatric Gastroenterology
    • Interventional Radiology
    • Hepatology

    Background:

    • Portal hypertension in children can lead to serious complications like hypersplenism and esophageal varices.
    • Splenic artery embolization (SAE) is an interventional radiology technique used to treat conditions related to the spleen.

    Purpose of the Study:

    • To evaluate the effectiveness and safety of splenic artery embolization (SAE) in pediatric patients with portal hypertension.
    • To assess the impact of SAE on spleen size, hypersplenism, esophageal varices, and blood counts.

    Main Methods:

    • Retrospective analysis of 30 pediatric patients (ages 5-14) who underwent splenic artery embolization (SAE).
    • Evaluation parameters included spleen size, clinical signs of hypersplenism, presence of esophageal varices, and hematological parameters.

    Main Results:

    • SAE demonstrated significant reduction in spleen size and improvement in hypersplenism.
    • The procedure led to the disappearance of esophageal varices in several cases and improved blood counts.
    • SAE was found to be a relatively safe and well-tolerated procedure in children.

    Conclusions:

    • Chronic splenic artery embolization (SAE) is a safe and effective treatment for pediatric portal hypertension.
    • SAE offers a pathogenically sound therapeutic option, potentially becoming the treatment of choice for chronic hepatitis with portal hypertension in children.

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