الفهرس 
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Abstract
Portal hypertension is defined as increase in the portal venous pressure greater than 7 mm Hg. It usually develops as a complication of cirrhosis and is directly responsible for the development of variceal hemorrhage. The optimal management. of portal hypertension requires a clear understanding of its anatomic and physiological basis, natural history, and the efficacy of specific therapies at specific stages in the natural history of portal hypertension. Therapeutic options for children with portal hypertension now include a broad range of pharmacological, endoscopic, and surgical procedures. Thoughtful application of all of these options can improve quality of life by decreasing the complication of portal hypertension and can decrease mortality by preventing the consequences of variceal hemorrhage. Injection sclerotherapy is considered the method of choice in children, however, the excellent results obtained after liver transplantation assure that definitive surgical treatment will continue to be important component in the treatment of children with portal hypertensive complications or progressive liver disease. Evolving procedures, such as TIPS and their role in the future, longterm management of children is yet to be defined. This retrospective non-randomized study was done in Gastroentrology center (GEC), Mansoura University between January 1978 and January 2002. 55 children, up to 16 years old, with bleeding varices were divided into two groups according to line of management, group (A) included 18 children were managed surgically either shunt or non shunt and 33 children were managed endoscopically either EIS or EBL.