scholarly journals Proximal Splenorenal Shunt (PSRS) for Management of Upper Gastrointestinal Bleeding due to Extra Hepatic Portal Vein Obstruction (EHPVO)

2017 ◽  
Vol 5 (11) ◽  
Author(s):  
Sarat Chandra Jayasingh ◽  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Portal Vein ◽  
Upper Gastrointestinal Bleeding ◽  
Splenorenal Shunt ◽  
Portal Vein Obstruction ◽  
Hepatic Portal Vein ◽  
Hepatic Portal ◽  
Upper Gastrointestinal

Treatment of Upper Gastrointestinal Bleeding by Percutaneous Transsplenic Varices Embolization in Chronic Hepatic Schistosomiasis Japonicum Patients

2021 ◽  
Author(s):  
Ying Li ◽  
Ban Sheng Cai ◽  
Xin Li ◽  
Shuai Ju ◽  
Xiu Ying Yang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Abdominal Ct ◽  
X Ray ◽  
Before And After ◽  
Intraperitoneal Bleeding ◽  
Hepatic Portal Vein ◽  
Hepatic Portal ◽  
Upper Gastrointestinal

To evaluate percutaneous transsplenic varices embolization (PTSVE) in the treatment of upper gastrointestinal bleeding (UGIB) in patients with chronic hepatic schistosomiasis japonicum (CHS), 29 CHS patients (20 males and 9 females) complicated with UGIB were selected as the investigation subjects. The patients were treated by PTSVE under the guidance of X-ray fluoroscopy. The success rate of PTSVE and the rate of complications were observed. In addition, the degrees of varices before and after PTSVE were evaluated by abdominal computed tomography (CT). Results showed that 26 CHS patients (89.6%) were successfully treated with PTSVE. Three cases (10.3%) failed, and two experienced intraperitoneal bleeding within 1 week after PTSVE. The abdominal CT showed a significant decrease of the varices stage in coronary (P < 0.001), esophageal (P = 0.006), and paraesophageal (P = 0.013) varices, but slightly increased perisplenic varices within 1 month of the intervention (P = 0.014). PTSVE may be a safe and effective procedure for the treatment of UGIB in CHS patients, particularly suitable for those with a widened hepatic fissure and exposed hepatic portal vein trunk and an enlarged spleen.

scholarly journals Diagnosis and management of extrahepatic oesophageal variceal bleed in children in a low resourced setting

2020 ◽  
Vol 54 (4) ◽  
pp. 274-278
Author(s):  
Taiba J. Afaa ◽  
Kokou H. Amegan-Aho ◽  
Elikem Richardson ◽  
Bamenla Goka
Keyword(s):  
Portal Hypertension ◽  
Gastrointestinal Bleeding ◽  
Portal Vein ◽  
Upper Gastrointestinal Bleeding ◽  
Liver Function Tests ◽  
Tertiary Hospital ◽  
Secondary Prophylaxis ◽  
Resource Constraint ◽  
Oesophageal Varices ◽  
Upper Gastrointestinal

Extrahepatic portal vein obstruction (EHPVO) is a major cause of portal hypertension (PH) in children. Portal vein thrombosis (PVT) is the most common cause accounting for up to 75% of cases in developing countries. Upper gastrointestinal bleeding is the most dreaded and commonest presentation of portal hypertension. Successful treatment of paediatric PH, though challenging is performed in resource constraint countries. Cases: Five children presented over three years to a tertiary hospital in Ghana, with massive upper gastrointestinal bleeding. They had anaemia, thrombocytopaenia and four had splenomegaly. Liver function tests, INR, haemoglobin electrophoresis as well as HIV serology, hepatitis B and C screening were all normal. Abdominal doppler ultrasound scan confirmed portal vein thromboses. They were resuscitated and managed with octreotide, propranolol, antibiotics and sclerotherapy or oesophageal variceal banding in the acute setting and long term secondary prophylaxis with propranolol. Subsequently, an algorithm was developed to assist with the management of bleeding from oesophageal varices and the diagnosis of EHPVO. Conclusion: Portal hypertension due to EHPVO is an important cause of upper gastrointestinal (GI) bleeding in children. This can be successfully managed even in a resource constraint setting once the appropriate measures are taken.

Extra-hepatic portal vein obstruction (EHPVO) in adult patients: Role of congenital or acquired thrombophylic disorders as etiologic factors

2000 ◽  
Vol 32 ◽  
pp. 137
Author(s):  
M. Primignani ◽  
N. De Bortoli ◽  
M. Moia ◽  
P. Bucciarelli ◽  
P. Preatoni ◽  
...  
Keyword(s):  
Portal Vein ◽  
Adult Patients ◽  
Portal Vein Obstruction ◽  
Hepatic Portal Vein ◽  
Hepatic Portal

Revisiting Extra Hepatic Portal Vein Obstruction in Children from the North Indian Gangetic Plain

2013 ◽  
Vol 81 (5) ◽  
pp. 429-433 ◽  
Author(s):  
Sundeep Goyal ◽  
V. K. Dixit ◽  
A. K. Jain ◽  
O. P. Mishra ◽  
S. K. Jena ◽  
...  
Keyword(s):  
Portal Vein ◽  
Gangetic Plain ◽  
The North ◽  
Portal Vein Obstruction ◽  
Hepatic Portal Vein ◽  
Hepatic Portal

scholarly journals Natural history of extra-hepatic portal vein obstruction (EHPVO) in western countries

2000 ◽  
Vol 118 (4) ◽  
pp. A967
Author(s):  
Massimo Primignani ◽  
Nicola De Bortoli ◽  
Marco Moia ◽  
Paolo Bucciarelli ◽  
Paolo Carnevale ◽  
...  
Keyword(s):  
Natural History ◽  
Portal Vein ◽  
Western Countries ◽  
Portal Vein Obstruction ◽  
History Of ◽  
Hepatic Portal Vein ◽  
Hepatic Portal

Encephalopathy assessment in children with extra-hepatic portal vein obstruction with MR, psychometry and critical flicker frequency

2010 ◽  
Vol 52 (3) ◽  
pp. 348-354 ◽  
Author(s):  
Santosh K. Yadav ◽  
Anshu Srivastava ◽  
Arti Srivastava ◽  
Michael A. Thomas ◽  
Jaya Agarwal ◽  
...  
Keyword(s):  
Portal Vein ◽  
Critical Flicker Frequency ◽  
Flicker Frequency ◽  
Portal Vein Obstruction ◽  
Hepatic Portal Vein ◽  
Hepatic Portal

Surgical guidelines for the management of extra-hepatic portal vein obstruction

2006 ◽  
Vol 10 (8) ◽  
pp. 908-913 ◽  
Author(s):  
Riccardo Superina ◽  
Benjamin Shneider ◽  
Sukru Emre ◽  
Shiv Sarin ◽  
Jean de Ville de Goyet
Keyword(s):  
Portal Vein ◽  
Portal Vein Obstruction ◽  
Hepatic Portal Vein ◽  
Hepatic Portal ◽  
Surgical Guidelines

scholarly journals Non Cirrhotic Portal Vein Thrombosis: Diagnostic and Therapeutic Challenge

2021 ◽  
Vol 22 (1) ◽  
pp. 79-83
Author(s):  
Syifa Mustika ◽  
Pratista Adi Krisna
Keyword(s):  
Gastrointestinal Bleeding ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Upper Gastrointestinal Bleeding ◽  
Recurrent Thrombosis ◽  
Common Cause ◽  
Vein Thrombosis ◽  
Physical Laboratory ◽  
Prevention And Treatment ◽  
Upper Gastrointestinal

Portal vein thrombosis (PVT), the second most common cause of portal hypertension, can be found in cirrhosis and non-cirrhosis patients. Various factors can cause non-cirrhosis PVT, such as biliary infection. Upper gastrointestinal bleeding without sign of liver failure, must be considered as non-cirrhosis PVT manifestation. Combining physical, laboratory, endoscopic and radiological examination is needed to establish the diagnosis of PVT. The principle of PVT management consists of 3 keypoints. They are prevention and treatment of gastrointestinal bleeding, prevention of recurrent thrombosis and portal cholangiopathy therapy. Many aspect should be considered regarding the administration of anticoagulants in PVT patients, especially chronic PVT with cavernomas.

scholarly journals Histological analyses of trucut liver biopsies from patients with noncirrhotic portal fibrosis and extra-hepatic portal vein obstruction

2021 ◽  
Vol 64 (5) ◽  
pp. 127
Author(s):  
Prasenjit Das ◽  
ArchanaGeorge Vallonthaiel ◽  
Vandana Baloda ◽  
Lavleen Singh ◽  
Rajni Yadav ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Fibrosis ◽  
Portal Vein Obstruction ◽  
Hepatic Portal Vein ◽  
Liver Biopsies ◽  
Noncirrhotic Portal Fibrosis ◽  
Hepatic Portal
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