PORTAL-HYPERTENSION IN CHILDREN - EXPERIE NCE IN VENOUS SHUNTING IN EARLY-CHILDHOOD

Operations were carried out on 98 childres with extrahepatic portal hy pertension and on 6 with intrahepatic block and no signs of hepatocell ular insufficiency. Mesenterico-caval H-shunt was formed in 78 childre n with the use of the internal jugular vein as the insert. The remaini ng children underwent formation of mesocaval anastomosis (8), distal s pleno-renal shunt (4), portocaval anastomosis (1), Sugiura's operation (7). Among the operations 68 were planned, 12 emergency, and 18 preve ntive. The average age of the children was 6.5 years; 31 were under th e age of 5 years and 19 under 3 years of age. The youngest child was a ged 10 months, the H-shunt was successful. The results of the operatio n: thrombosis of the shunt 0 %, porto-system encepahlopathy 0 %, recur rent hemorrhage 0 %, lethality 1 %. This is evidence of the expediency of performing shunting operations in early childhood.