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Publication Name World Journal of Hepatology
Manuscript ID 67756
Country India
Category Gastroenterology & Hepatology
Manuscript Type Review
Article Title Pediatric non-cirrhotic portal hypertension: Endoscopic outcome and perspectives from developing nations
Manuscript Source Invited Manuscript
All Author List Moinak Sen Sarma and Jayendra Seetharaman
Funding Agency and Grant Number
Corresponding Author Moinak Sen Sarma, MD, Assistant Professor, Department of Pediatric Gastroenterology, Sanjay Gandhi Post-graduate Institute of Medical Sciences, Raebereli Road, Lucknow 226014, Uttar Pradesh, India. mmoinaksen@gmail.com
Key Words Extrahepatic portal vein obstruction; Non-cirrhotic portal fibrosis; Portosystemic shunt surgery; Congenital hepatic fibrosis
Core Tip The review discusses the natural history, endoscopic outcome, and management of non-cirrhotic causes of portal hypertension in children, especially in resource constraint developing nations. Extrahepatic portal vein obstruction is the most common cause of portal hypertension in developing countries. Endoscopic variceal ligation and sclerotherapy effectively eradicate the esophageal varices. Other complications require shunt surgery that ultimately reverses portal hypertension. Non-cirrhotic portal fibrosis has favourable outcomes in terms of variceal bleeding and mortality. Isolated congenital hepatic fibrosis (CHF) has a relatively good outcome. Liver transplantation is required when CHF is associated with Caroli’s disease, recurrent cholangitis, and decompensation. The presence of significant renal disease requires combined liver and kidney transplantation.
Citation Sarma MS, Seetharaman J. Pediatric non-cirrhotic portal hypertension: Endoscopic outcome and perspectives from developing nations. World J Hepatol 2021; 13(10): 1269-1288
Received
2021-04-30 19:22
Peer-Review Started
2021-04-30 19:23
To Make the First Decision
Return for Revision
2021-06-15 21:50
Revised
2021-06-27 18:53
Second Decision
2021-09-17 03:30
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief
2021-09-19 09:04
Articles in Press
2021-09-19 09:04
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2021-10-20 05:47
ISSN 1948-5182 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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