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Updated: Feb 4, 2026

Invasive Hemodynamic Characterization of the Portal-hypertensive Syndrome in Cirrhotic Rats
Published on: August 1, 2018
Cirrhosis and Portal Hypertension in the Pediatric Population
Catherine A Chapin1, Lee M Bass1
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 East Chicago Avenue, Box #65, Chicago, IL 60611, USA.
Insights
Cirrhosis, a liver condition, can lead to portal hypertension in children. This review covers causes, complications like varices and ascites, and treatments for pediatric portal hypertension.
Area of Science:
- Hepatology
- Pediatric Gastroenterology
Background:
- Cirrhosis involves liver architectural changes and nodule formation.
- Cirrhosis is a common precursor to portal hypertension.
- Portal hypertension in children has diverse etiologies.
Purpose of the Study:
- To review the causes of pediatric portal hypertension.
- To discuss complications such as gastroesophageal varices and ascites.
- To explore extrahepatic manifestations and treatment options for portal hypertension.
Main Methods:
- Literature review of pediatric portal hypertension.
- Synthesis of information on etiologies and complications.
- Overview of current treatment strategies.
Main Results:
- Identified common causes: extrahepatic portal vein obstruction, biliary atresia, alpha 1 antitrypsin deficiency, autoimmune hepatitis.
- Highlighted gastroesophageal varices and ascites as significant complications.
- Summarized extrahepatic manifestations and therapeutic interventions.
Conclusions:
- Pediatric portal hypertension requires understanding its varied causes and serious complications.
- Effective management involves addressing both intrahepatic and extrahepatic aspects.
- Further research into optimal treatment strategies is warranted.
Abstract:
Cirrhosis is a complex process in which the architecture of the liver is replaced by structurally abnormal nodules due to cirrhosis. Cirrhosis frequently leads to the development of portal hypertension. In children, portal hypertension may be caused by a wide range of etiologies, including extrahepatic portal vein obstruction, biliary atresia, alpha 1 antitrypsin deficiency, and autoimmune hepatitis. Gastroesophageal varices and ascites are two of the complications of portal hypertension likely to cause morbidity and mortality. This review also discusses extrahepatic manifestations of portal hypertension and treatment options.
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