Assessment of the causes and risk factors of portal hypertension among children < 15 years in Black Lion Hospital AAU, Ethiopia.

tesfaye Kebede legesse

Abstract


Background - Portal hypertension (PHT) may be caused by a wide variety of conditions, each with a different course and natural history. It frequently presents with bleeding from oesophageal varices, which is the commonest cause of serious upper gastrointestinal haemorrhage in children. Precise diagnosis, a sound understanding of the therapeutic options, and a multidisciplinary approach are essential for successful management. This study was done to assess the causes and risk factors of portal hypertension among children <15 years

Methods: this was a retrospective facility based study conducted at BLH by collecting all children who have a clinical diagnosis of portal HTN and or gastroscopy findings. Data was collected with the trained nurse using a structured questioner.

Results: a total of 214 cases were included with mean age of 9.3yrs + 3. Hepatic causes were the commonest causes cirrhosis being the leading causes of portal HTN followed by portel vein thrombosis. Ultrasound was done for 116 cases and identified the cause of portal HTN in 50%of the cases and in 26.7 % of cases findings were normal.

Conclusion: patients with cirrhosis should always be followed for the features of portal HTN.  Problem centered strategy and commitment to health education for health professionals and the community at large should particularly address hepatic causes of portal HTN.

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References


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