2019 Volume 55 Issue 5 Pages 927-932
Purpose: We performed the Hassab operation on portal hypertension (PH) patients when esophagogastric varices were uncontrollable under endoscopic therapy or hypersplenism was severe resulting in thrombocytopenia. We examined the long-term results of the Hassab operation performed in our department.
Methods: A retrospective study was carried out for PH patients who received Hassab operation at our institution.
Result: We have conducted the Hassab operation on 5 patients, 2 with extrahepatic portal vein occlusion, 1 with congenital liver fibrosis, and 2 with biliary atresia after surgery. All patients needed blood transfusion preoperatively owing to the rupture of esophageal varices. The Hassab operation was performed at the ages of 3 to 10 years. In all 5 patients, pancytopenia improved immediately after the procedure and liver function was maintained. In 4 patients, mild esophageal varices required endoscopic therapy several times after the Hassab operation, were finally easily controlled. One patient died after liver transplantation for liver cirrhosis. The others are doing well for 7 to 17 years without postoperative complication.
Conclusion: For portal hypertension in childhood, the Hassab operation can be one of the effective options for some patients having refractory esophageal varices without liver dysfunction.
