The diagnosis and surgical management of extrahepatic portal hypertension in infants and children have improved dramatically in the last 50 years, as evidenced by the reported mortalities of 46% in 1928-1935 and only 12% in 1974. The diagnosis Is often evident from the first sudden gastrointestinal bleeding Incident and can be verified quickly with fiberoptic esophagoscopy and x-rays. The surgeon has a choice of multiple shunt procedures to control portal pressure.
Howard, Philip J.
"Portal Hypertension in Children: Three Case Reports and Review of Recent Progress in Treatment,"
Henry Ford Hospital Medical Journal
: Vol. 27
Available at: https://scholarlycommons.henryford.com/hfhmedjournal/vol27/iss2/12