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©The Author(s) 2021.
World J Hepatol. Oct 27, 2021; 13(10): 1269-1288
Published online Oct 27, 2021. doi: 10.4254/wjh.v13.i10.1269
Published online Oct 27, 2021. doi: 10.4254/wjh.v13.i10.1269
Table 1 Clinical characteristics and outcome of non-cirrhotic portal fibrosis in pediatric studies
| Parameters | Prasad et al[90] (n = 45) | Sood et al[91] (n = 19) | Poddar et al[109] (n = 11) | Franchi-Abella et al[110] (n = 48) | |
| Mean or median (range) age at presentation | 14.5 (6-18) yr | 13.8 (5.9-17.6) yr | 11 (5-14) yr | 8.75 (1 mo-16 yr) | |
| At presentation | |||||
| Variceal bleed | 49% | 15.70% | 54.60% | 18.80% | |
| Lump upper abdomen | 47% | 84.20% | 45.40% | 43.80% | |
| Ascites | 20% | - | 18% | - | |
| Spleen size (mean) cm | 10.5 | 12 (4.75–17.25) | 8 | - | |
| Variceal recurrence | 39% | - | 18% | - | |
| Poor outcome | |||||
| Decompensation | 4% | 0 | 0 | 12.50% | |
| Hepatopulmonary syndrome | 2% | 5% | - | 4.20% | |
| Follow-up duration (mean) | 48 (3-120) mo | 18 (2-51) mo | 57.5 (12-78) mo | 15 (1-26) yr | |
| Survival without transplant | 93% | 100% | 100% | 88% | |
Table 2 Clinical characteristics and outcome of congenital hepatic fibrosis in pediatric studies
| Parameters | Rawat et al[106] (n = 40) | Poddar et al[105] (n = 15) | Parkash et al[111] (n = 25) | Luoto et al[112] (n = 27) | |
| Mean or median age | 1.3 yr | 8 yr (10 mo-14 yr) | 8.5 ± 2.7 yr | 2.7 (0-13) yr | |
| Associations | |||||
| Caroli’s syndrome | 52.50% | 9% | 8% | 11% | |
| Renal | 92.50% | 81.80% | 24% | 100% | |
| CHF | 47.50% | 54.50% | 92% | 37% | |
| Presentations | |||||
| Variceal bleeding | 27% | 54.50% | 60% | 15% | |
| Cholangitis | 25% | 9% | 0% | 7.40% | |
| Recurrent cholangitis | 7.50% | 9% | 0% | 3.70% | |
| Decompensation | 5% | 18.20% | 0% | 19% | |
| Endotherapy | 27% | 100% | 60% | 30% | |
| Shunt surgery | 0% | 9% | 20% | 3.70% | |
| Transplant | |||||
| Renal transplant | 0% | - | - | 41% | |
| Liver transplant | 5% | - | - | 3.70% | |
| Combined liver kidney transplant | 45% | - | - | 37% | |
| Survival | |||||
| Overall survival | 90% | 100% [41 (1-80) mo] | 100% | 70% [10.6 (0.6-40) yr] | |
| Survival post-transplant (follow-up duration) | 80% [5 (1.2-9)] yr | - | - | 73.30% | |
| Survival non-transplant (follow-up duration) | 100% [15 (4.5-19)] yr | - | - | 100% | |
- 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
- URL: https://www.wjgnet.com/1948-5182/full/v13/i10/1269.htm
- DOI: https://dx.doi.org/10.4254/wjh.v13.i10.1269
