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Presinusoidal Portal Hypertension


Presentation

  • Diagnosis Treatment Conclusion Incidence of ParaAnastomotic Aortic Aneurysms True ParaAnastomotic Aortic Aneurysms False ParaAnastomotic Aortic Aneurysms Infected ParaAnastomotic Aortic Aneurysms Presentation Management Operative Techniques and Results[books.google.com]
  • Mercaptopurine. // Reactions Weekly;Aug2014, Vol. 1512 Issue 1, p27 The article presents a case study of a 12-year-old boy who was admitted to hospital for non-cirrhotic portal hypertension after being treated for Cohn's disease (CD).[connection.ebscohost.com]
  • She presented with 2 weeks of development of asthenia and abdominal distension. Upon physical exploration, clinical signs of ascites were found.[elsevier.es]
  • The data we present were retrieved from the clinical records of the procedures and from the electronic patient records. As with all the other clinical procedures, the patients were carefully informed about risks and benefits beforehand.[link.springer.com]
Non-Alcoholic Cirrhosis
  • @article{PomierLayrargues1985PresinusoidalPH, title {Presinusoidal portal hypertension in non-alcoholic cirrhosis.}, author {Gilles T Pomier-Layrargues and D. Kusielewicz and B. A. T.[semanticscholar.org]
  • Presinusoidal portal hypertension in non-alcoholic cirrhosis. Segun la localizacion se subdivide a su vez en presinusoidal y postsinusoidal (11).[medical-dictionary.thefreedictionary.com]
Hunting
  • . , and Hunt, A.H. : Prolonged survival after portal decompression of patients with non-cirrhotic intrahepatic portal hypertension . Gut, 11: 610 , 1970 .[journals.sagepub.com]
Fishing
  • Kiser TH, Maclaren R, Fish DN. Treatment of hepatorenal syndrome. Pharmacotherapy . 2009 Oct. 29(10):1196-211. [Medline] . Appenrodt B, Zielinski J, Brensing KA, Heller J, Sauerbruch T, Schepke M.[medscape.com]
Splenomegaly
  • Physical examination was unremarkable except for splenomegaly and skin lesions. Liver function tests were normal; a needle biopsy of the liver (right lobe) showed nonspecific changes.[ncbi.nlm.nih.gov]
  • Abstract In 1894 Banti (1) reported a disease characterized by splenomegaly and "cirrhosis" of the liver.[annals.org]
  • . : Obliterative portal venopathy of the liver; Associated with so-called idiopathic portal hypertension or tropical splenomegaly . Arch. Path., 87: 359 , 1969 .[journals.sagepub.com]
Massive Splenomegaly
  • Massive splenomegaly ( 10 cm below the left subcostal margin)-present in 95 % of patients. Dilated superficial abdominal veins- in15 %. Mild hepatomegaly ( Eggs S. hematobium S. manson Inf. mesentery v. Predom Egypt/ Middle East/ Africa/ S.[gastroenterologybook.com]
  • Portal hypertension may also occur in massive splenomegaly or AV fistulas due to increased blood flow. The most common cause of portal hypertension is c i r rhos is of liv e r. Portal hypertension is present in more than 60% of cirrhosis patients.[medicscientist.com]
  • Increased flow volume is a rare cause, although it often contributes to portal hypertension in cirrhosis and in hematologic disorders that cause massive splenomegaly.[merckmanuals.com]
Skin Lesion
  • Physical examination was unremarkable except for splenomegaly and skin lesions. Liver function tests were normal; a needle biopsy of the liver (right lobe) showed nonspecific changes.[ncbi.nlm.nih.gov]

Workup

  • Occlusive Disease Median Arcuate Ligament Syndrome Conclusion Historical Background Mesenteric Venous Thrombosis Chronic MesentericArtery Ischemia Conclusion Introduction Pathophysiology and Anatomy Types of Mesenteric Lschemia Clinical Presentation Workup[books.google.com]
  • Clinical characteristics are given in Table 1 , and all diagnoses were based on standard clinical workup. All patients had clinically stable disease.[link.springer.com]
  • A black tarry stool on the gloved finger suggests an upper gastrointestinal source, and further workup needs to be pursued.[clevelandclinicmeded.com]
  • Indeed, esophageal varices are responsible for the main complication of portal hypertension, upper gastrointestinal (GI) hemorrhage (see Etiology and Pathophysiology, Prognosis, Presentation, and Workup ). (See the images below.)[emedicine.medscape.com]
Enlargement of the Spleen
  • Splenomegaly Splenomegaly indicates an enlargement of the spleen usually associated with an overactivity of the spleen, defined hypersplenism, which leads to premature destruction of blood cells.[abdominalkey.com]

Treatment

  • Hg) on treatment ( P 1 ).[link.springer.com]
  • World Experience with Endovascular Graft Treatment of rAAAS Advantages of Endovascular Treatment of rAAAs Discussion Incidence Surgical Management Methods for Endovascular Graft Repair Surveillance Considerations for Isolated Iliac Aneurysms Treated[books.google.com]
  • Endovascular treatment has thus currently emerged as a minimally invasive reliable treatment option in such individuals. 2 APFs often have a good prognosis, due to the minimal effects of a single APF and the effectiveness of current treatments.[elsevier.es]

Prognosis

  • Endovascular treatment has thus currently emerged as a minimally invasive reliable treatment option in such individuals. 2 APFs often have a good prognosis, due to the minimal effects of a single APF and the effectiveness of current treatments.[elsevier.es]
  • The prognosis is generally good depending on the management of bleeding varices.[thieme-connect.com]
  • […] paraoesophageal collaterals omental collaterals retroperitoneal collaterals mesenteric collaterals splenorenal collaterals gastrorenal collaterals splenomegaly ascites cause of portal hypertension often identified, most commonly liver cirrhosis Treatment and prognosis[radiopaedia.org]
  • Liver is a comprehensive book that discusses all aspects of diseases ranging from epidemiology to prognosis.[books.google.es]
  • Prognosis and Treatment Prognosis is critically dependent on liver function. Liver failure is often the prime cause or a significant associated factor in mortality.[hepatitiscentral.com]

Etiology

  • We conducted this prospective study to elucidate the prevalence and etiology of...[connection.ebscohost.com]
  • Considerations Results of TEVAR Complications of TEVAR Endovascular Treatment of TypeB Aortic Dissection Conclusion Indications for Operation Preoperative Evaluation Open Surgical Repair Postoperative Management Outcomes Acknowledgments Introduction Etiology[books.google.com]
  • Although the etiology is obscure, certain immunologic abnormalities seem to play an etiologic role in Japanese patients, and the incidence has markedly declined in recent years in Japan, indirectly suggesting a role of infection.[thieme-connect.com]
  • Etiology Most common etiologies in Tanzania for portal HTN are schistosomal portal fibrosis and cirrhosis: other causes include splenic and portal vein thrombosis.[cardiokh.com]
  • In our series, the response in children with sinusoidal etiologies though late, yet was statistically significant.[tropicalgastro.com]

Epidemiology

  • Development and Imaging Configurations Intravascular Ultrasound Imaging Techniques Clinical Utility of Intravascular Ultrasound Normal Blood Flow Arterial Stenoses Stenosis as Part of a Larger Arterial Circuit Bypass Grafts Conclusions Historical Perspective Epidemiology[books.google.com]
  • Liver is a comprehensive book that discusses all aspects of diseases ranging from epidemiology to prognosis.[books.google.es]
  • Epidemiology : C ommon in Asia- accounts for20 % of all portal hypertension in India.[gastroenterologybook.com]
  • Background and Epidemiology Usually a consequence of liver cirrhosis but can occasionally have other causes. In the presence of portal hypertension, the risk of variceal bleeding can vary from 7% (small) to 30% (large).[dundeemedstudentnotes.wordpress.com]
  • Prognostic factors in patients with idiopathic portal hypertension: Two Japanese nationwide epidemiological surveys in 1999 and 2005. Hepatol Res. 2012;42(12):1211–1220. 23. Okudaira M, Ohbu M, Okuda K.[dovepress.com]
Sex distribution
Age distribution

Pathophysiology

  • […] existence of a significant correlation between pulmonary artery plasma epinephrine concentration and cardiac index (r2 0.46, p less than 0.01) in patients with presinusoidal portal hypertension suggests that the adrenal medulla could play a role in the pathophysiology[ncbi.nlm.nih.gov]
  • Pathophysiology of NIH Neointimal Hyperplasia as a Response to Injury Interventions to Treat Neointimal Hyperplasia Acknowledgments Introduction Biology of Vessel Formation Therapeutic Angiogenesis Stem cell Therapy Summary and Future Perspective Acknowledgements[books.google.com]
  • . : Pathophysiology of idiopathic portal hypertension (in Japanese). J. Jap. Soc . Intern. Med., 57: 1317 , 1968 . Google Scholar Bradley, S.E. , Ingelfinger, F.J. , Bradley , G.P. , and Curry. J.J. : Estimation of hepatic blood flow in man . J.[journals.sagepub.com]
  • INTRA-hepatic (post-sinusoidal veno-occlusive disease, sinusoidal cirrhosis, pre-sinusoidal schistomiasis), POST-hepatic (heart failure, constrictive pericarditis, cor pulmonale aka RV enlargement from pulmonary disease) pre-hepatic portal hypertension: pathophysiology[quizlet.com]

Prevention

  • Next Document: Melatonin prevents peritoneal adhesions in rats.[biomedsearch.com]
  • Special chapters, such as the Designing Clinical Research in Gastrointestinal Endoscopy, The Prevention of Infection Following Gastrointestinal Endoscopy, Complications of Peptic Ulcer Disease, and Credentialing for Gastrointestinal Endoscopy, help make[books.google.com]
  • Norfloxacin prevents bacterial infection in cirrhotics with gastrointestinal hemorrhage. Gastroenterology . 1992 Oct. 103(4):1267-72. [Medline] . Soriano G, Guarner C, Teixido M, et al.[medscape.com]
  • It also includes a chapter on preventive aspects of hepato-biliary diseases keeping in mind that prevention of diseases is always preferred to cure. One of the unique features of this book is, it has contributors from all over the world.[books.google.es]

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