Abstract
In a recent report of the 1974 meeting of the American Surgical Association on the management of extra-hepatic portal hypertension in children and in the following discussion (6) the general consensus was in favor of conservative measures and against portal-systemic shunts in children less than 8 years and on veins less than 8 mm diameter. This attitude derived from the following items: 1. bleeding episodes were not life-threatening, at least in extra hepatic portal hypertension; 2. direct attack of varices was fraught with a high rate of recurrent bleeding and 3. thrombosis frequently occurred after portal-systemic shunts when the vein was narrow.
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