Sugiura procedure for children with hemorrhagic portal hypertension secondary to extrahepatic portal vein occlusion

Abstract

From October 1990 to September 1994, eight children with the hemorrhagic extrahepatic portal hypertension (EPH) secondary to portal vein thrombosis (PVT) underwent the Sugiura operation in our department. All of the patients were male. The mean age was'7.4 years. The cause of PVT was idiopathic in 7 patients and due to polysplenia in one case. The Sugiura procedure (SP) was carried out in one stage via'the thoracic route. The mean follow up period was 22 months. No patient had died and no rebleeding was found. We conclude that SP is the effective treatment for EPH caused by PVT.