Shavrov A A, Pelikh S T, Leont'ev A F, Senkovich V M
Khirurgiia (Mosk). 1995(4):6-8.
The article discusses the results of endoscopic examination of 44 children with extrahepatic portal hypertension before and after various types of portocaval shunting. Thirteen children were also examined in the late-term postoperative periods. It was found that decompression of the portal system not only leads to rapid reduction of the esophageal varicosities but also facilitates relief from gastritis and esophagitis. An unfavorable effect of cava-mesenteric shunts on the development of the bulbo-gastric reflux was revealed. It is shown that long-term regular medical observation over these patients and their nonoperative treatment are necessary.
本文讨论了44例肝外门静脉高压症患儿在接受各种类型的门腔分流术前后的内镜检查结果。其中13例患儿还在术后晚期进行了检查。研究发现，门静脉系统减压不仅能迅速减轻食管静脉曲张，还能缓解胃炎和食管炎。研究揭示了腔-肠系膜分流术对球-胃反流发展的不良影响。结果表明，对这些患者进行长期定期的医学观察及其非手术治疗是必要的。
