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소아연령에서의 간외 문맥 폐쇄증 –일상적 방사선학적 진단- : Extrahepatic Portal Vein Obstruction in Childhood
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 서정기 | - |
dc.contributor.author | 연경모 | - |
dc.date.accessioned | 2009-08-13T06:07:36Z | - |
dc.date.available | 2009-08-13T06:07:36Z | - |
dc.date.issued | 1983-12 | - |
dc.identifier.citation | Seoul J Med, Vol.24 No.4, pp. 414-421 | - |
dc.identifier.issn | 0582-6802 | - |
dc.identifier.uri | https://hdl.handle.net/10371/7157 | - |
dc.description.abstract | In nine children with upper gastrointestinal bleeding
and splenomegaly, who were suspected to have the prehepatic protal hypertension on the clinical ground, angiographic diagnosis was tried to confirm the extrahepatic portal hypertension with portal vein obstruction. Selective celiac and superior mesenteric arteriography in six children and splerioportography in three children clearly showed hepatofugal and hepatopetal collaterals in addition to the obstruction of the portal venous system. Barium swallow examination demonstrated esophageal varix in all these patients. Ascites and jaundice were not found in these children. Abnorrnalities of liver function test including transaminase and abnormal bleeding tendency were not observed in these children. Initial clinical presentation was hematemesis in five children, melena without hematemesis in one child and asymptomatic splenomegaly in three children. Age at onset of the initial clinical presentation was ranged from 3 months to 8 years of age. The mean interval between initial presentation and diagnosis was about 4 years and 6 months and, ranged from 5 months to 10 years and 8 months delay being usually due to failure to perform the selective arteriography or splenoportography. The cause of the portal vein thrombosis in these children was not known. However, omphalitis and neonatal sepsis were found as the predisposing condition in two of these children with extrahepatic protal hypertension. | - |
dc.language.iso | ko | - |
dc.publisher | 서울대학교 의과대학 | - |
dc.title | 소아연령에서의 간외 문맥 폐쇄증 –일상적 방사선학적 진단- | - |
dc.title.alternative | Extrahepatic Portal Vein Obstruction in Childhood | - |
dc.type | SNU Journal | - |
dc.contributor.AlternativeAuthor | Seo, Jeong Kee | - |
dc.contributor.AlternativeAuthor | Yeon, Kyung Mo | - |
dc.citation.journaltitle | 서울 의대 잡지 | - |
dc.citation.journaltitle | 서울 의대 학술지 | - |
dc.citation.journaltitle | Seoul Journal of Medicine | - |
dc.citation.endpage | 421 | - |
dc.citation.number | 4 | - |
dc.citation.pages | 414-421 | - |
dc.citation.startpage | 414 | - |
dc.citation.volume | 24 | - |
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