1.Surgical management on portal hypertension with esophageal varices.
Hyun Jang KIM ; Ho Chul PARK ; Sung Wha HONG
Journal of the Korean Surgical Society 1992;42(5):607-616
No abstract available.
Esophageal and Gastric Varices*
;
Hypertension, Portal*
2.A Case of Esophageal Variceal Bleeding in a Child Secondary to Portal Hypertension Associated with Cavernous Transformation of the Portal Vein Suggesting Extrahepatic Portal Obstruction.
Sun Yang HONG ; Tae Won OH ; Jeong Kook LEE ; Hahng LEE ; Keun Soo LEE ; Seok Chol JEON ; Heung Suk SEO
Journal of the Korean Pediatric Society 1990;33(10):1406-1412
No abstract available.
Child*
;
Esophageal and Gastric Varices*
;
Humans
;
Hypertension, Portal*
;
Portal Vein*
3.Idiopathic portal hypertension.
Yong Joon SEO ; Young Kil CHOI ; Sang Hyo KIM
Journal of the Korean Surgical Society 1993;45(2):249-255
No abstract available.
Hypertension, Portal*
4.A Pericardiophrenic Collateral Pathway in Portal Hypertension
Dong Hun KIM ; Hancheol JO ; Jeongseok YUN
Journal of Acute Care Surgery 2019;9(1):25-26
No abstract available.
Hypertension, Portal
6.A Case of Portal Vein and Splenic Vein Occlusion after Endoscopic Variceal Occlusion Therapy in Gastric Variceal Bleeding.
Eun Jeong KANG ; Soo Young PARK ; Yu Rim LEE ; Chang Yeon KIM ; Sun Young AHN ; Jung Gil PARK ; Hyun Seok LEE ; Won Young TAK ; Young Oh KWEON
Keimyung Medical Journal 2014;33(2):164-168
Acute gastric variceal bleeding is one of the most serious complications in portal hypertension, and is associated with high mortality and morbidity. Endoscopic variceal obturation (EVO) using Histoacryl(R) (n-butyl-2-cyanoacrylate) has been accepted as an effective hemostatic procedure in acute gastric variceal bleeding. However, EVO is not a widely performed because of technical difficulties and complications such as mucosal ulceration, perforation, and systemic embolism. Herein, we report a patient who developed hepatic failure caused by portal vein occlusion by Histoacryl(R) injection for management of gastric variceal bleeding.
Embolism
;
Esophageal and Gastric Varices*
;
Humans
;
Hypertension, Portal
;
Liver Failure
;
Mortality
;
Portal Vein*
;
Splenic Vein*
;
Ulcer
8.Baveno VII - Renewing consensus in portal hypertension: personalized care for portal hypertension.
Xiao Mei LI ; Bo Han LUO ; Zheng Yu WANG ; Jie YUAN ; Guo Hong HAN
Chinese Journal of Hepatology 2022;30(1):21-29
The Baveno VII workshop held in October 2021 was featured by the subject of personalized care in portal hypertension. The workshop focused on the following 9 topics including: the relevance and indications for measuring the hepatic venous pressure gradient as a gold standard; the use of non-invasive tools for the diagnosis of compensated advanced chronic liver disease and clinically significant portal hypertension; the impact of etiological and of non-etiological therapies in the course of cirrhosis; the prevention of the first episode of decompensation; the management of the acute bleeding episode; the prevention of further decompensation; as well as the diagnosis and management of splanchnic vein thrombosis and other vascular disorders of the liver. This essay provides a compilation and summary of recommendations regarding the abovementioned topics, and presents the most recent research proceedings and the corresponding consensus to our readers.
Consensus
;
Esophageal and Gastric Varices
;
Humans
;
Hypertension, Portal/therapy*
;
Liver Cirrhosis/therapy*
;
Portal Pressure
9.Comparison of characteristics of esophageal gastric varices in portal hypertension patients with and without spontaneous shunts.
Yaying ZHAO ; Mosang YU ; Zhemin WANG ; Fansheng MENG ; Feng JI
Journal of Zhejiang University. Medical sciences 2016;45(1):75-80
OBJECTIVETo compare the characteristics of esophageal gastric varices in portal hypertension patients with and without spontaneous shunts.
METHODSClinical data of 118 patients with esophageal gastric varices undergoing portal vein computed tomographic angiography (CTA) and gastroscopy between January 2012 and August 2015 was retrospectively reviewed.
RESULTSPortal vein CTA results showed that spleno-renal or gastro-renal shunts were detected in 24 out of 118 cases. The average portal vein diameters (PVD) of patients with and without spontaneous shunt were (12.48±2.79) mm and (13.58±3.46) mm, respectively (P>0.05). The average area of gastric veins in patients with spontaneous shunt was significantly larger than that of patients without shunt [294.00 (0.00~2400.00) mm2 vs. 26.00 (0.00~1620.00) mm2, respectively, (P<0.001]. Compared with patients without spontaneous shunt, the location of esophageal varices was lower and the degree was less serious in patients with spontaneous shunt (P<0.05). No matter with history of uppergastrointestinal bleeding, the average area of gastric veins in patients with spontaneous shunt was significantly larger than that of patients without shunt (P<0.05). For patients having no history of splenectomy, the average portal vein diameter (PVD) in those with spontaneous shunt was significantly smaller than that in those without shunt (P<0.05).
CONCLUSIONThe portal vein diameter of patients without splenectomy and with spontaneous shunts is shorter and their esophageal varices are less serious; the gastric veins are large and wriggly in patients with spontaneous shunts.
Angiography ; Esophageal and Gastric Varices ; physiopathology ; Gastroscopy ; Humans ; Hypertension, Portal ; physiopathology ; Portal Vein ; pathology ; Retrospective Studies ; Spleen ; Tomography, X-Ray Computed