scholarly journals Evaluation of growth and nutritional status in children and adolescents with extrahepatic portal vein obstruction and portal hypertension

2017 ◽  
Vol 30 (4) ◽  
pp. 455-461
Author(s):  
Priscila Francisco MARQUES ◽  
Maria Angela Bellomo BRANDÃO ◽  
Gabriel HESSEL ◽  
Roberta Vacari ALCANTARA ◽  
Marcela Linden FERREIRA ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Portal Hypertension ◽  
Nutritional Status ◽  
Portal Vein ◽  
Dietary Intake ◽  
Children And Adolescents ◽  
Energy Intake ◽  
Body Mass ◽  
Extrahepatic Portal Vein Obstruction ◽  
Portal Vein Obstruction

ABSTRACT Objective: This study aims to evaluate dietary intake, nutritional status, and growth rate in children and adolescents with extrahepatic portal vein obstruction and portal hypertension. Methods: Outpatients aged 1-18 years, diagnosed with extrahepatic portal vein obstruction and portal hypertension, who had no associated diseases, and who had not been subjected to a venous shunt were included in this study. Two evaluations were carried out in this study: an initial (evaluation 1) and a final evaluation (evaluation 2), with a three-month minimum interval between them. In each evaluation, dietary intake was analyzed comparing the results with recommended energy intake using the Harris & Benedict equation and participants’ anthropometric data, such as weight, height, mid-arm muscle circumference, weight-for-age, height-for-age, and body mass index-for-age, based on the World Health Organization 2006 standards. Results: A total of 22 patients participated in this study. There was a significant improvement in weight, height, body mass index, and mid-arm muscle circumference measurements (p<0.001; p<0.001; p<0.017; p=0.0018 respectively) and in the relationship between dietary intake and energy recommended energy intake, according to the Harris & Benedict equation (p=0.0001) from the first and second evaluation. Conclusion: Extrahepatic portal vein obstruction and portal hypertension were not shown to be factors predisposing to malnourishment.

Well-tolerated portal hypertension and favorable prognosis in adult patients with extrahepatic portal vein obstruction in Japan

2015 ◽  
Vol 46 (6) ◽  
pp. 505-513 ◽  
Author(s):  
Tadashi Sekimoto ◽  
Hitoshi Maruyama ◽  
Kazufumi Kobayashi ◽  
Soichiro Kiyono ◽  
Takayuki Kondo ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Adult Patients ◽  
Extrahepatic Portal Vein Obstruction ◽  
Favorable Prognosis ◽  
Portal Vein Obstruction

Sonographic Evaluation of a Unique Meso-Rex Shunt: A Case Study

2020 ◽  
Vol 36 (6) ◽  
pp. 567-571
Author(s):  
Danielle E. Cain ◽  
Sharlette Anderson
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Bypass Surgery ◽  
Main Portal Vein ◽  
Extrahepatic Portal Vein Obstruction ◽  
Venous Flow ◽  
Sonographic Evaluation ◽  
Portal Vein Obstruction ◽  
Rex Shunt

Portal hypertension is a result of an increase in intrahepatic resistance in the main portal vein. The Meso-Rex shunt is used to bypass the obstructed portal vein and restore the venous flow into the liver. This procedure alleviates the need for a hepatic transplant. The Meso-Rex shunt has proven to be an effective treatment for extrahepatic portal vein obstruction, thus saving children from a complete transplant. There are variants to this bypass surgery, and sonography is commonly used to assess the condition pre- and postoperatively. In this case, the shunt was uniquely different from the typical Meso-Rex bypass surgery. Particular vasculature made it imperative for the sonographer to review the prior sonograms and review the chart information before preforming the examination. It should also be noted that sonographers must adapt the protocols to give the utmost treatment.

scholarly journals Correlation between Blood Pressure, Body Mass Index, Life Style and Dietary Habits in Children and Adolescents Aged 6 to 18 Years in Tabriz, Iran

2020 ◽  
Author(s):  
Shahnaz Taghizadeh ◽  
Mahdieh Abbasalizad Farhangi ◽  
Fathollah Poorali
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Dietary Intake ◽  
Children And Adolescents ◽  
Body Mass ◽  
High Blood Pressure ◽  
Life Style ◽  
Dietary Habits ◽  
Overweight And Obesity ◽  
Watching Tv

Introduction: The prevalence of childhood high blood pressure is rising fast. The possibility of high blood pressure augments with increasing body mass index (BMI), inappropriate dietary intake and lifestyle problems. The aim of this study was to investigate the correlation between blood pressure, body mass index, life style and dietary habits in children and adolescents aged 6 - 18 years in Tabriz, Iran. Methods: The present study was a cross-sectional study. Using data of the Sib software (the software used in the health transformation system) were collected. This data includes anthropometric information, some demographic factors, dietary intake and lifestyle of 425 children and adolescents with overweight and obesity. The data were analyzed by STATA software (MP 4.2 potable 2017). Results: The association between systolic blood pressure and dairy products (P = 0.02), watching TV / PC (P = 0.041), BMI quarter (P <0.001), BMI (P <0.001), and age (P <0.001) as well as the association between diastolic blood pressure with BMI quarter (P <0.001), BMI (P <0.001) and age (P <0.001) was statistically significant and the other variables did not show a meaningful statistical relationship. Conclusion: Age, BMI, less dairy consumption, and watching TV/PC has a relationship with high blood pressure. Therefore, nutritionists and health workers should consider the above considerations when making recommendations in children and adolescents with overweight and obesity.

scholarly journals Growth assessment in children with extra-hepatic portal vein obstruction and portal hypertension

2003 ◽  
Vol 40 (4) ◽  
pp. 247-250 ◽  
Author(s):  
Maria Angela Bellomo-Brandão ◽  
André Moreno Morcillo ◽  
Gabriel Hessel ◽  
Silvia Regina Cardoso ◽  
Maria de Fátima P. C. Servidoni ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Portal Hypertension ◽  
Portal Vein ◽  
Portal Vein Obstruction ◽  
Z Scores ◽  
Hepatic Portal Vein ◽  
The Mean ◽  
Hepatic Portal ◽  
Height For Age ◽  
Weight For Age

BACKGROUND: Several studies carried out to examine the growth of children with extra-hepatic portal vein obstruction and portal hypertension have reported a variety of findings. AIM: To assess anthropometric indices in children with portal hypertension due to extra-hepatic portal vein obstruction and who were treated by endoscopic variceal sclerotherapy. METHODS: Anthropometric data were obtained retrospectively from the medical records of 24 patients who had been followed for 3.8 ± 2.5 years at the Pediatric Gastroenterology Outpatient Clinic of the University Hospital, Campinas, SP, Brazil. The mean Z scores of weight for age, height for age and body mass index at diagnosis and at the last consultation were compared to reference data of the National Center for Health Statistics. The two recordings were compared to assess the long-term effect of the condition. RESULTS: The mean Z scores at diagnosis and at the last follow-up visit were all within normal ranges when compared to the reference population, with the following respective values: weight for age, 0.042 ± 1.09 and 0.132 ± 1.29; height for age, 0.200 ± 1.04 and 0.466 ± 1.24, and body mass index, -0.223 ± 0.98 and -0.198 ± 0.98. In addition, there were no significant differences between the Z score values obtained in the two recordings. CONCLUSION: Portal hypertension due to extra-hepatic portal vein obstruction was not associated with growth impairment in the group of children studied.

scholarly journals Very Early Presentation of Extrahepatic Portal Vein Obstruction Causing Portal Hypertension in an Infant: Uncertainties in the Management and Therapeutic Limitations

2016 ◽  
Vol 10 (2) ◽  
pp. 360-365 ◽  
Author(s):  
Parisá Khodayar-Pardo ◽  
Andrés Peña Aldea ◽  
Ana Ramírez González ◽  
Adela Meseguer Carrascosa ◽  
Cristina Calabuig Bayo
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Imaging Study ◽  
Hepatopulmonary Syndrome ◽  
Caudate Lobe ◽  
Extrahepatic Portal Vein Obstruction ◽  
Early Presentation ◽  
Pediatric Age Group ◽  
Cavernous Transformation ◽  
Portal Vein Obstruction

Extrahepatic portal vein obstruction, although rare in children, is a significant cause of portal hypertension (PHT) leading to life-threatening gastrointestinal bleeding in the pediatric age group. PHT may also lead to other complications such as hyperesplenism, cholangyopathy, ascites, and even hepatopulmonary syndrome and portopulmonary hypertension that may require organ transplantation. Herein we report the case of an asymptomatic 11-month-old infant wherein a hepatomegaly and cavernous transformation of the portal vein was detected by liver ultrasound. Neither signs of thrombosis in arteriovenous system, nor affectation of biliary tract were identified in the magnetic resonance imaging study. A significant enlargement of the caudate lobe of the liver was reported. No risk factors were detected. The differential diagnosis performed was extensive. Inherited thrombophilia and storage disorders were especially considered. Liver biopsy was normal. Upper gastrointestinal esophagogastroduodenoscopy detected two small varicose cords on the distal third of the esophagus. Finding a cavernous transformation of the portal vein with evidence of collateral circulation in such an early age is a challenging condition for professionals, since PHT may lead to severe complications during childhood and can compromise growth and development. Evidence-based guidelines for the management of PHT in adults have been published. However, follow-up and treatment of pediatric patients have not yet been standardized. Moreover, management of PHT in infants faces particular difficulties such as technical restrictions that could hinder their treatment.

Extrahepatic portal vein obstruction in adults detected by ultrasound with frequent lack of portal hypertension signs

1993 ◽  
Vol 8 (2) ◽  
pp. 161-167 ◽  
Author(s):  
NOBUYUKI SUGIURA ◽  
SHOUICHI MATSUTANI ◽  
MASAO OHTO ◽  
MASAAKI EBARA ◽  
MASAHARU YOSHIKAWA ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Extrahepatic Portal Vein Obstruction ◽  
Portal Vein Obstruction

Portopulmonary Shunt by Splenopneumopexy as a Treatment for Portal Hypertension Due to Extrahepatic Portal Vein Obstruction: Case Report

1993 ◽  
Vol 27 (4) ◽  
pp. 303-307
Author(s):  
Koki Tanaka ◽  
Hiromi Nakayama ◽  
Meguru Yoshimine ◽  
Kenzo Honbo ◽  
Takashi Ohno ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Hypertension ◽  
Portal Vein ◽  
Extrahepatic Portal Vein Obstruction ◽  
Portal Vein Obstruction

scholarly journals The Association between Physical Activity, Dietary Behavior and Body Mass Index among Saudi Women Living in KSA and UK: العلاقة بين النشاط البدني والسلوك الغذائي ومؤشر كتلة الجسم بين النساء السعوديات اللواتي يعشن في المملكة العربية السعودية والمملكة المتحدة

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Ahlam Saleh Al-Hajri - Fiona McCullough  -   Andy Salter
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Saudi Arabia ◽  
Dietary Intake ◽  
Energy Intake ◽  
Body Mass ◽  
Physical Inactivity ◽  
Overweight And Obesity ◽  
Saudi Women ◽  
The Uk

    This study investigates the association between Physical Activity (PA) and dietary intake with Body Mass Index (BMI) among Saudi women living in Saudi Arabia and women living in the UK. A survey of a snowball sample was used to recruit 258 female and explored factors influencing PA and food intake and their effects on BMI in women living in KSA and UK. Participants completed a self-reporting questionnaire relating to knowledge, attitudes, barriers, and levels of PA, sedentary activity and eating habits. Several results were concluded, most importantly: 1) Excessive energy intake, physical inactivity, and sedentary lifestyle were all prevalent in Saudi women, resulting in 80%, over the age of 35 years being overweight or obese. 2) BMI was associated with both energy intake and PA, though the relationship with the former was stronger. The most common barriers to regular exercise were transportation and lack of time. 3) Findings were generally similar between women living in Saudi Arabia and the UK. 4) This study confirms that excessive dietary intake and physical inactivity both contribute to overweight and obesity in Saudi Arabian women.    

Sign in / Sign up

Export Citation Format

Share Document