Henry Ford Hospital Medical Journal


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.