@Article{Jain2017,
journal="Clinical and Experimental Hepatology",
issn="2392-1099",
volume="3",
number="4",
year="2017",
title="Profile of extrahepatic portal venous obstruction among children in Central India",
abstract=" Introduction : There is a paucity of data regarding the clinical profile of children with extrahepatic portal venous obstruction (EHPVO) from Central India.   Material and methods : Retrospective analysis of 30 children with EHPVO treated between 2002 and 2012.   Results : The median age of presentation was 12.5 years (range 5-14 years) and median duration of symptoms was 3.2 years (range 0.3-10 years). Home delivery was noted in 30 cases (100%), umbilical sepsis in 8 (27%) and history of cow dung application over the umbilical cord in 2 cases (6.7%). Twenty-two cases (73.4%) presented with upper gastrointestinal (GI) bleeding while 18 (60%) were referred for pancytopenia and/or hypersplenism. The patients underwent a median of 3.2 sessions of endoscopic therapy for varices. Most patients (19/30, 63.4%) dropped out of serial endotherapy due to the paucity of funds. Shunt surgery was performed in 7 patients.   Conclusions : Home delivery and umbilical sepsis are significant risk factors for EHPVO. Most patients present with GI bleeding and do well on endoscopic treatment/shunt surgery.",
author="Jain, Mayank
and Jain, Jenisha
and Passi, Gauri Rao
and Jain, Kamna
and Jain, Shikhar",
pages="209--211",
doi="10.5114/ceh.2017.71446",
url="http://dx.doi.org/10.5114/ceh.2017.71446"
}