HEPATOPULMONARY SYNDROME IN PEDIATRIC PATIENTS WITH PORTAL HYPERTENSION - AN INTEGRATIVE REVIEW

Autor: Letícia Drumond ALBERTO, Eleonora Druve Tavares FAGUNDES, Adriana Teixeira RODRIGUES, Thaís Costa Nascentes QUEIROZ, Gustavo Valverde de CASTRO, Alexandre Rodrigues FERREIRA
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Arquivos de Gastroenterologia, Vol 61 (2024)
Druh dokumentu: article
ISSN: 1678-4219
0004-2803
DOI: 10.1590/s0004-2803.24612024-040
Popis: ABSTRACT Background: Hepatopulmonary syndrome (HPS) is characterized by the triad of abnormal arterial oxygenation caused by intrapulmonary vascular dilatations (IPVD) in the setting of advanced liver disease or portal hypertension, impacting the patient’s quality of life and survival. There are still many gaps in the literature on this topic, especially in pediatrics, with practices frequently based on extrapolation of data obtained from adults. Objective: Provide a synthesis of the current knowledge about HPS in children. Methods: The research was carried out through narrative review. The databases used for the search include Medline, Embase, Elsevier, Lilacs and Scielo. The keywords used were “hepatopulmonary syndrome” AND child, children, infant, preschool, pediatric. Results: In cirrhotic children, the prevalence of HPS can reach up to 42.5%, and it is even more common in those whose underlying condition is biliary atresia, reaching up to 63%. Screening with pulse oximetry (O2 saturation
Databáze: Directory of Open Access Journals