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[Hepatic encephalopathy after portosystemic bypass surgery].
S R Margaryan1,2, Z B Mitupov1,2, A Yu Razumovsky1,2
1Pirogov Russian National Research Medical University, Moscow, Russia.
Khirurgiia
|June 28, 2023
Summary
Portosystemic bypass surgery effectively treats gastrointestinal bleeding but risks hepatic encephalopathy in children. Selective shunts and mesoportal bypass may reduce this risk, optimizing outcomes.
Area of Science:
- Pediatric Surgery
- Hepatology
- Gastroenterology
Background:
- Portal hypertension often necessitates portosystemic bypass surgery for gastrointestinal bleeding.
- Hepatic encephalopathy remains a significant postoperative complication in pediatric surgery.
- Optimal management strategies for pediatric hepatic encephalopathy post-surgery are still under investigation.
Conclusions:
- Selective shunts and mesoportal bypass are recommended to improve outcomes in children with hepatic encephalopathy.
- Careful consideration of encephalopathy risk is vital when selecting surgical treatment.
- Further research into radical treatments for pediatric hepatic encephalopathy is warranted.
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