Rupture of esophageal varices due to portal hypertension

  • Yusri Dianne Jurnalis Department of Child Health, Andalas University Medical School/Dr. M.Djamil Hospital, Padang, West Sumatera
  • Yorva Sayoeti Department of Child Health, Andalas University Medical School/Dr. M.Djamil Hospital, Padang, West Sumatera
  • Marlinda Marlinda Department of Child Health, Andalas University Medical School/Dr. M.Djamil Hospital, Padang, West Sumatera
Keywords: rupture of esophageal varices, esophageal varices, portal hypertension, variceal bleeding

Abstract

Variceal bleeding is the most common cause of serious upper gastrointestinal (UGI) bleeding in children. Most variceal bleeding is esophageal.1 Hemorrhages from esophageal varices due to portal hypertension are a major cause of morbidity and mortality. There is a 30% mortality rate following an initial episode of variceal hematemesis. Mortality increases to 70% with recurrent variceal hemorrhage. Moreover, the one year survival rate after variceal hemorrhage is often poor (32 to 80%).2-4 We report a case of esophageal varices rupture caused by portal hypertension, an emergent case in the Pediatric Gastrohepatology division.

References

1. Gilger MA. Gastrointestinal bleeding. In: Walker W A, Goulet O, Kleinman RE, Shennan PM, Shneider BL, Sanderson IR, editors. Pediatric gastrointestinal disease. 4th eel. Philadelphia: BC Decker; 1991. p. 258-65.
2. Orenstein S. Esophageal varices. In: Nelson WE, Kliegman RM, Jenson HB, editors. Textbook of pediatrics. 18th ed. Philadelphia, Saunders; 2004. p. 1225-6.
3. Sawant PD, Nanivadekar SA, Desai DC, Kanakia RK, Rajgopalan K, Dave UK. Long tenn follow up of endoscopic sclerotherapy. Indian Pediatr. 1994;31:1443-6.
4. Genecin P, Groszmann RJ. Portal hypertension. In: Schiff L, Schiffre, editors. Diseases of the liver. 7th ed. Philadelphia: JB Lippincott; 1993. p. 935-73.
5. Ament ME. Diagnosis and management of upper gastrointestinal tract bleeding in the pediatric patients. Pediatr Rev. 1990;12:107-14.
6. Suchy FJ. Portal hypertension and varices. In: Nelson WE, Kliegman RM, Jenson HB, editors. Textbook of pediatrics. 18th ed. Philadelphia, WB Saunders; 2004. p. 1709-11.
7. Boyle JT. Gastrointestinal bleeding in infants and children. Pediatr Rev. 2008;29:39-52.
8. Besson I, Ingrand P, Person B, Boutroux D, Heresbach D, Bernard P, et al. Sclerotherapy with or without octreotide for acute variceal bleeding. N Eng J Med. 1995;333:555-60.
9. Dib N, Oberti F, Cales P. Current management of the complications of portal hypertension : variceal bleeding and ascites. Can Med Assoc J. 2006;174:1433-43.
10. Gonzalez R, Zamora J, Camarero J G, Molinero LM, Bafiares R, Albillos A. meta-analysis: combination endoscopic and drug therapy to prevent variceal re-bleeding in cirrhosis. Ann Intern Med. 2008;149:109-22.
Published
2010-10-30
How to Cite
1.
Jurnalis Y, Sayoeti Y, Marlinda M. Rupture of esophageal varices due to portal hypertension. PI [Internet]. 30Oct.2010 [cited 26Apr.2024];50(5):316-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1006
Section
Case Report
Received 2016-11-07
Accepted 2016-11-07
Published 2010-10-30