Management of portal hypertension based on portal hemodynamics

2021 ◽  
Author(s):  
Hiroshi Yoshida ◽  
Tetsuya Shimizu ◽  
Masato Yoshioka ◽  
Nobuhiko Taniai
Keyword(s):  
Portal Hypertension ◽  
Portal Hemodynamics

SURGICAL TREATMENT OF A CHILD WITH OVARICOVARICOCELE IN THE BACKGROUND OF PORTAL HYPERTENSION SYNDROME

2021 ◽  
Vol 100 (4) ◽  
pp. 190-193
Author(s):  
A.B. Alkhasov ◽  
◽  
R.O. Ignatyev ◽  
A.P. Fisenko ◽  
S.P. Yatsyk ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Hypertension ◽  
Surgical Treatment ◽  
Renal Vein ◽  
Clinical Effect ◽  
Left Renal Vein ◽  
Left Kidney ◽  
Venous Hypertension ◽  
Complex Case ◽  
Portal Hemodynamics

A complex case report of the diagnosis and surgical correction of ovaricovaricocele (OVC) in a girl with portal hypertension syndrome is presented. The disease manifested itself with symptoms atypical for portal hypertension – dysmenorrhagia and persistent recurrent pelvic pain. The cause of OVC was thrombosis of the left renal vein after splenorenal shunt. Venous hypertension of the left kidney persisted even after creating a mesenteric-caval anastomosis and improving portal hemodynamics. Left-sided ovarian-caval shunt was made with a good clinical effect, which was confirmed by angiography.

Effects of atorvastatin on portal hemodynamics and clinical outcomes in patients with cirrhosis with portal hypertension

2018 ◽  
Vol 30 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Saptarshi Bishnu ◽  
SK.M. Ahammed ◽  
Avik Sarkar ◽  
Jabaranjan Hembram ◽  
Saswata Chatterjee ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Clinical Outcomes ◽  
Portal Hemodynamics

Portal hemodynamics in idiopathic portal hypertension (Banti's syndrome)

1987 ◽  
Vol 92 (3) ◽  
pp. 751-758 ◽  
Author(s):  
Kunihiko Ohnishi ◽  
Masayuki Saito ◽  
Shinichi Sato ◽  
Hidetaka Terabayashi ◽  
Shinji Iida ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Idiopathic Portal Hypertension ◽  
Portal Hemodynamics ◽  
Banti's Syndrome

scholarly journals Portal hyperflow in patients with hepatosplenic mansonic schistosomiasis

2004 ◽  
Vol 59 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Roberto de Cleva ◽  
William Abrão Saad ◽  
Paulo Herman ◽  
Vincenzo Pugliese ◽  
Bruno Zilberstein ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Esophageal Varices ◽  
Portal Pressure ◽  
Previous History ◽  
Portal Flow ◽  
Portal Hemodynamics ◽  
Significant Drop ◽  
Hemodynamic Assessment ◽  
History Of ◽  
Hepatosplenic Schistosomiasis

PURPOSE: The purpose of this study was to assess portal hemodynamics in patients with portal hypertension due to hepatosplenic schistosomiasis as well as to assess the contribution of splanchnic hyperflow to the pathophysiology of the portal hypertension. METHODS: Sixteen patients with schistosomal portal hypertension and previous history of upper digestive bleeding due to esophageal varices rupture underwent elective esophagogastric devascularization and splenectomy and were prospectively studied. All patients underwent intraoperative invasive hemodynamic portal monitoring with a 4F-thermodilution catheter. The intraoperative portal hemodynamic assessment was conducted after laparotomy (initial) and after esophagogastric devascularization (final). RESULTS: The initial portal pressure was elevated (mean 28.5 ± 4.5 mm Hg), and a significant drop of 25% was observed at the end of the surgery (21.9 ± 4.9 mm Hg). The initial portal flow was elevated (mean 1766.9 ± 686.6 mL/min). A significant fall (42%) occurred at the end of the surgical procedure (1025.62 ± 338.7 mL/min). Fourteen patients (87.5%) presented a portal flow of more than 1200 mL/min, and in 5 cases, values greater than 2000 mL/min were observed. CONCLUSIONS: Esophagogastric devascularization and splenectomy promote a significant reduction of the elevated portal pressure and flow in schistosomal portal hypertension. These data favor the hypothesis of portal hyperflow in the physiopathology of portal hypertension of schistosomiasis.

scholarly journals Comparison of portal hemodynamics between idiopathic portal hypertension and liver cirrhosis.

Kanzo ◽  
1985 ◽  
Vol 26 (12) ◽  
pp. 1625-1629
Author(s):  
Masayuki SAITO ◽  
Kunihiko OHNISHI ◽  
Hidetaka TERABAYASHI ◽  
Nobuyoshi CHIN ◽  
Shinichi SATO ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Portal Hypertension ◽  
Idiopathic Portal Hypertension ◽  
Portal Hemodynamics

Changes in portal hemodynamics after TIPS in liver cirrhosis and portal hypertension

2013 ◽  
Vol 48 (5) ◽  
pp. 570-576 ◽  
Author(s):  
Muna Palikhe ◽  
Hui Xue ◽  
Rajiv K. Jha ◽  
Ying Chao Li ◽  
Jia Yuan ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Portal Hypertension ◽  
Portal Hemodynamics

scholarly journals Comparison of the effects of femoral versus portal vein administration of vasodilators on portal hemodynamics in cirrhotic rats with portal hypertension

2010 ◽  
Vol 18 (33) ◽  
pp. 3508
Author(s):  
Xiao Ma ◽  
Li-Tao Sun ◽  
Fang-Fang Niu ◽  
Xiao-Hui Zhang ◽  
Bing-Rong Liu
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Portal Hemodynamics

scholarly journals Portal hemodynamics in idiopathic portal hypertension (Banti's syndrome)

Kanzo ◽  
1986 ◽  
Vol 27 (5) ◽  
pp. 615-621
Author(s):  
Kunihiko OHNISHI ◽  
Masayuki SAITO ◽  
Kunio OKUDA
Keyword(s):  
Portal Hypertension ◽  
Idiopathic Portal Hypertension ◽  
Portal Hemodynamics ◽  
Banti's Syndrome

scholarly journals The role of ultrasonography in the evaluation of portal hemodynamics in healthy adults and pathologic conditions

2016 ◽  
Vol 22 (2) ◽  
pp. 128-134 ◽  
Author(s):  
C. Anda Achim ◽  
P. Bordei ◽  
E. Dumitru
Keyword(s):  
Blood Flow ◽  
Liver Cirrhosis ◽  
Portal Hypertension ◽  
Portal Vein ◽  
Esophageal Varices ◽  
Healthy Subjects ◽  
Portal Blood Flow ◽  
Control Group ◽  
Portal Hemodynamics ◽  
Cirrhotic Patients

AbstractIntroduction: Portal hypertension results from increased resistance to the portal blood flow. The ultrasound represents a noninvasive tool for assessing the structural and hemodynamic abnormalities in this condition.Objectives: The assessment of the hemodynamic blood flow of the liver and spleen by using Doppler ultrasound in patients with portal hypertension compared with healthy subjects and to identify correlations with the severity of liver cirrhosis and esophageal varices.Materials and Method: This study included 50 patients with liver cirrhosis and 20 healthy subjects as controls. Different correlations were carried out between hemodynamic variables obtained from the Doppler examination and the severity of cirrhosis as assessed by the Child score and the degree of esophageal varices at endoscopy.Results: The portal vein diameter was larger in cirrhotic patients compared with the control group. The mean portal vein velocity and the blood flow were significantly lower in advanced forms of liver cirrhosis. The portal vein congestion index, the pulsatility and resistivity indexes of the hepatic artery were significantly increased in patients with CHILD B and C cirrhosis compared with the control group and patients in CHILD class A. There were no statistically significant differences between the pulsatility and resistivity indexes of the splenic artery in patients with cirrhosis. The liver vascular index was significantly lower in patients with advanced cirrhosis.Conclusions: The ultrasound is a valuable noninvasive tool for cirrhotic patients with portal hypertension. However, it is not sufficiently accurate in differentiating between different classes of cirrhosis or degrees of esophageal varices.

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