keyword
https://read.qxmd.com/read/38372519/-not-available
#1
JOURNAL ARTICLE
Sabrine Majdoub Fehri, Wafa Fekih, Mohamed Khrouf, Hamida Kwas, Hichem Denguir
The hepatopulmonary syndrome is defined as the triad of liver disease, pulmonary gas exchange abnormalities leading to arterial deoxygenation and widespread pulmonary vascular dilatation. It is one of the not infrequently cases of dyspnea within patients with liver disease. We report the case of a 32-year-old woman with cirrohsis and portal hypertention who presented with dyspnea worsning progressively. The blood gas revealed a deep hypoxemia with a PaO2 rate 42mmHg but clinically well tolerated. Pulmonary embolism and pneumonia were rapidly excluded by a CT pulmonary angiography...
May 5, 2023: La Tunisie Médicale
https://read.qxmd.com/read/36186776/bibliometric-analysis-visualization-and-review-of-non-invasive-methods-for-monitoring-and-managing-the-portal-hypertension
#2
REVIEW
XiaoHan Sun, Hong Bo Ni, Jian Xue, Shuai Wang, Afaf Aljbri, Liuchun Wang, Tian Hang Ren, Xiao Li, Meng Niu
BACKGROUND: Portal hypertension monitoring is important throughout the natural course of cirrhosis. Hepatic venous pressure gradient (HVPG), regarded as the golden standard, is limited by invasiveness and technical difficulties. Portal hypertension is increasingly being assessed non-invasively, and hematological indices, imaging data, and statistical or computational models are studied to surrogate HVPG. This paper discusses the existing non-invasive methods based on measurement principles and reviews the methodological developments in the last 20 years...
2022: Frontiers in Medicine
https://read.qxmd.com/read/34221769/diffuse-capillary-spleen-hemangiomatosis-a-rare-cause-of-hepatic-dysmorphia
#3
Houda Mirali, Imane Kamaoui, Narjisse Aichouni, Siham Nasri, Imane Skiker
Spleen hemangiomatosis is the most common type of benign vascular tumor, and it is usually associated with other visceral localizations such as the liver, lymph nodes, skin, and bone marrow. The diffuse form of this condition is defined by the number of locations in one organ. We report the case of a 48-year-old female who sought consultation for left hypochondrium chronic pain. Physical examination subsequently revealed splenomegaly. Imaging showed a diffuse capillary spleen hemangiomatosis, hepatic dysmorphia, and several signs of portal hypertension...
May 29, 2021: Curēus
https://read.qxmd.com/read/33584073/comparative-study-of-indocyanine-green-r15-child-pugh-score-and-model-for-end-stage-liver-disease-score-for-prediction-of-hepatic-encephalopathy-after-transjugular-intrahepatic-portosystemic-shunt
#4
JOURNAL ARTICLE
Zhong Wang, Yi-Fan Wu, Zhen-Dong Yue, Hong-Wei Zhao, Lei Wang, Zhen-Hua Fan, Yu Zhang, Fu-Quan Liu
BACKGROUND: Hepatic encephalopathy (HE) remains an enormous challenge in patients who undergo transjugular intrahepatic portosystemic shunt (TIPS) implantation. The preoperative indocyanine green retention rate at 15 min (ICG-R15), as one of the liver function assessment tools, has been developed as a prognostic indicator in patients undergoing surgery, but there are limited data on its role in TIPS. AIM: To determine whether the ICG-R15 can be used for prediction of post-TIPS HE in decompensated cirrhosis patients with portal hypertension (PHT) and compare the clinical value of ICG-R15, Child-Pugh score (CPS), and model for end-stage liver disease (MELD) score in predicting post-TIPS HE with PHT...
February 7, 2021: World Journal of Gastroenterology: WJG
https://read.qxmd.com/read/33317252/the-cut-off-value-of-transient-elastography-to-the-value-of-hepatic-venous-pressure-gradient-in-alcoholic-cirrhosis
#5
JOURNAL ARTICLE
Se Ri Ryu, Jeong-Ju Yoo, Seong Hee Kang, Soung Won Jeong, Moon Young Kim, Young Kyu Cho, Young Chang, Sang Gyune Kim, Jae Young Jang, Young Seok Kim, Soon Koo Baik, Yong Jae Kim, Su Yeon Park, Baigal Baymbajav
BACKGROUND/AIMS: The hepatic venous pressure gradient (HVPG) reflects portal hypertension, but its measurement is invasive. Transient elastography (TE) is a noninvasive method for evaluating liver stiffness (LS). We investigated the correlation between the value of LS, LS to platelet ratio (LPR), LS-spleen diameter-to-platelet ratio score (LSPS) and HVPG according to the etiology of cirrhosis, especially focused on alcoholic cirrhosis. METHODS: Between January 2008 and March 2017, 556 patients who underwent HVPG and TE were consecutively enrolled...
January 2021: Clinical and Molecular Hepatology
https://read.qxmd.com/read/31222830/using-transjugular-intrahepatic-portosystemic-shunt-as-the-first-line-therapy-in-secondary-prophylaxis-of-variceal-hemorrhage
#6
JOURNAL ARTICLE
Jiacheng Liu, Qin Shi, Shuping Xiao, Chen Zhou, Binqian Zhou, Feng Yuan, Chuansheng Zheng, Shan Lin, Kun Qian, Gansheng Feng, Bin Xiong
BACKGROUND AND AIM: This study aims to evaluate and compare the survival and other portal hypertension-related complications of patients with portal pressure gradient (PPG) ≥ 25 mmHg using transjugular intrahepatic portosystemic shunt (TIPS) as the first-line and second-line therapies in secondary prophylaxis of variceal hemorrhage. METHODS: Fifty patients diagnosed with liver cirrhosis were enrolled in this retrospective study, with 35 of whom received TIPS as the first-line therapy in secondary prophylaxis of variceal hemorrhage and 15 of whom as second-line treatment...
June 20, 2019: Journal of Gastroenterology and Hepatology
https://read.qxmd.com/read/25341236/-clinical-efficacy-of-autologous-mesenclyme-multipotential-stem-cells-transplantation-in-the-liver-cirrhosis-and-portal-hypertension-treatment
#7
JOURNAL ARTICLE
(no author information available yet)
In 14 patients with cirrhosis and portal hypertention autologous mesenclyme multipotential stem cells (AMMSC) transplanation was performed in portal vein (I group, n=7) and common trunk of the hepatic artery (II group, n=6). Duration of pathological processes since diagnosis is 1-8 years (3,7±2,4 years). The initial severity was evaluated by a set of child-Pugh score: Class A - 6 (42,9%), Class B - 8 (57,1%). Cell cultures indentication and characteristics consistent with International Society of cell technology guidanes (ISCT) since 2006...
September 2014: Georgian Medical News
https://read.qxmd.com/read/24864574/-perioperative-management-of-patients-for-living-donor-liver-transplantation
#8
JOURNAL ARTICLE
Atsuhiro Matsumoto, Yuji Fujino
Living-donor liver transplantation has become a standard and effective treatment for end stage liver disease patients. As a result of remarkable progress in immunosuppressive drugs, surgical device, anesthetics, and appropriate perioperative management, liver-transplanted patients may experience fewer complications, shorter length of ICU stay, and a better overall outcome. However, unexpected perioperative complications remain substantial. Therefore, we take care in several points in perioperative period. First, we should appropriately evaluate general preoperative conditions, such as coagulopathy, ascites, respiratory and renal function...
May 2014: Masui. the Japanese Journal of Anesthesiology
https://read.qxmd.com/read/23503380/-surgical-treatment-of-portal-hypertension-the-state-of-art
#9
REVIEW
A G Shertsinger, S B Zhigalova, V M Lebezev, G V Manukian, E A Kitsenko
The article highlights modern approaches to the treatment of portal hypertension. The differential tactics is based on the type of portal hypertension, functional liver state, urgency of the situation and severity of blood loss, localization and stage of varices, concomitant diseases, etc. The role of miniinvasive methods is stressed. The reasonability of general treatment algorithm of portal hypertention in specialized centers is proved.
2013: Khirurgiia
https://read.qxmd.com/read/23204696/management-of-variceal-hemorrhage-in-children-with-extrahepatic-portal-venous-obstruction-shunt-surgery-versus-endoscopic-sclerotherapy
#10
JOURNAL ARTICLE
Arshad Hussain Wani, Omar Javed Shah, S A Zargar
Extrahepatic portal venous obstruction (EHPVO) is a common cause of portal hypertention in children. Esophageal variceal hemorrhage is a major cause of morbidity and mortality in these patients. For many decades, portal systemic shunts were considered as the most effective treatment of variceal hemorrhage. Endoscopic injection sclerotherapy (EIS) was first introduced for emergency management of bleeding varices and subsequently as definitive treatment to prevent recurrent hemorrhage. The purpose of the study was to compare the safety and efficacy of shunt surgery and endoscopic sclerotherapy for patients with proven esophageal variceal bleeding due to EHPVO...
December 2011: Indian Journal of Surgery
https://read.qxmd.com/read/22880426/-osteoiliacography-as-diagnostic-method-of-vena-cava-inferior-circulation-failure-in-liver-cirrhosis
#11
JOURNAL ARTICLE
S T Turmakhanov
Hypertension developing in the vena cava system under conditions of cirrhosis results in the formation of collateral blood outflow into vena cava superior (VCS) and inferior, at the same time the carrying capacity of vena cava inferior (VCI) might be limited due both to its fixation in the rigid diaphragm ring and to the fact that the hepatic segment of VCI is compressed by regenerated nodes. The increased volume of blood outflow via VCI with a simultaneous constriction of its hepatic segment results in the development of caval hypertention which even more complicates the transhepatic blood flow...
2012: Vestnik Khirurgii Imeni I. I. Grekova
https://read.qxmd.com/read/22869508/-hepatic-peliosis-a-rare-liver-tumor-and-challenge-for-diagnostic-investigation-plus-therapy
#12
JOURNAL ARTICLE
T Bexten, I Burck, W O Bechstein, C Moench
HISTORY AND ADMISSION FINDINGS: A 42-year-old woman presented at our hospital, because of a non-specific hepatic tumor. She complained of dull pain in the right upper abdomen. Physical examination did not reveal any pathology, especially there was no evidence of an infection. Abuse of drugs, alcohol or anticontraceptives was also denied. INVESTIGATIONS UND THERAPY: Even though fine needle biopsy and extensive radiological examination were performed a malignant nature of the liver tumor could not be excluded...
July 2012: Deutsche Medizinische Wochenschrift
https://read.qxmd.com/read/18219909/-the-efficacy-of-transcatheter-embolization-of-severe-arterioportal-shunts-in-hepatocellular-carcinoma
#13
JOURNAL ARTICLE
Yukiharu Hiyoshi, Toru Beppu, Kazutoshi Okabe, Hiromitsu Hayashi, Toshiro Masuda, Hirohisa Okabe, Takao Mizumoto, Hiroyuki Komori, Hiroshi Tanaka, Kei Horino, Takatoshi Ishiko, Hiroshi Takamori, Masahiko Hirota, Hideo Baba
Transcatheter arterial embolizations of severe arterioportal shunt (A-P shunt) were performed with steel coils in 3 patients with hepatocellurlar carcinoma (HCC) as shown below. Case 1: A 56-year-old man with HCC associated with portal hypertension (esophageal varices and ascites abnominal pain), portal vein tumor thrombus and severe A-P shunt was performed in critical conditions. Case 2: A 51-year-old man with HCC, lung and adrenal gland metastases was accompanied with severe portal hypertention caused by A-P shunt and was in a harmful condition similar to case 1...
November 2007: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/17085347/role-of-laparoscopic-subtotal-cholecystectomy-in-the-treatment-of-complicated-cholecystitis
#14
JOURNAL ARTICLE
Wu Ji, Ling-Tang Li, Jie-Shou Li
BACKGROUND: Laparoscopic cholecystectomy (LC) has become the "gold standard" in treating benign gallbladder diseases. Increasing laparoscopic experience and techniques have made laparoscopic subtotal cholecystectomy (LSC) a feasible option in more complex procedures. In recent years, few studies with a few cases of LSC have reported good results in patients with various types of cholecystitis. This study was designed to evaluate the feasibility, indications, characteristics and benefits of LSC in patients with complicated cholecystitis...
November 2006: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://read.qxmd.com/read/16435515/-nodular-regenerative-hyperplasia-following-liver-tuberculosis
#15
JOURNAL ARTICLE
Jérôme Boursier, Armelle Foulet, Christophe Pilette
We reported a case of nodular regenerative hyperplasia revealed by hemorrhage from portal hypertention and ascites in a 81 years old patient. This patient presented two years ago hepatic tuberculosis well documented by liver biopsy. If this patient do not have exhaustive etiologic research of nodular regenerative hyperplasia, the relationship between the tuberculosis infection and the developpement of this nodular regenerative hyperplasia appears highly probable and must be researched.
October 2005: Gastroentérologie Clinique et Biologique
https://read.qxmd.com/read/16333884/the-pharmacological-approach-to-reverse-portal-hypertention-and-hepatic-schistosomal-fibrosis-in-egypt-control-experimental-study
#16
COMPARATIVE STUDY
Ahmed Hazem I Helmy, Afaf Ahmed Abdel-Hady, Faten el-Shanawany, Olfat Hammam, Ahmed Abdel-Hady
Schistosoma mansoni is the most prevalent cause of liver fibrosis in Egypt. It is characterized by hepatocyte damage, inflammation and chronic parasite egg-induced granuloma formation leading to fibrosis. Its management, particularly fibrosis, has focused primarily on treating and preventing the complications of portal hypertension. Unfortunately, there is no therapy that has been proved to prevent progressive hepatic fibrosis which is associated with a significant morbidity and mortality due to granulomatous hypersensitivity to parasite eggs...
December 2005: Journal of the Egyptian Society of Parasitology
https://read.qxmd.com/read/16170961/-small-diameter-porto-caval-shunt-in-patients-with-bleeding-from-esophageal-varices-a-report-of-twenty-cases
#17
JOURNAL ARTICLE
Juan Gerardo Orea Martínez, Ana Cristina Obregón García, Ana María Pérez Vergara, Alberto Márquez Acosta
INTRODUCTION: SDPCS (The small diameter portacaval shunt) published originally by Rypins and Sarfeh in Los Angeles in 1983 has recieved little attention in our comunity to control bleeding in patients with portal hypertention. The bleeding of esophageal varices represents the must frequent and dramatic complication caused by cirrhosis, with a 50% of mortality without treatment. BACKGROUND: Comunicate the indications, thecnique and results with the Small Diameter Portocaval shunt...
January 2005: Revista de Gastroenterología de México
https://read.qxmd.com/read/15228872/frequency-of-rectal-varices-in-patients-with-cirrhosis
#18
COMPARATIVE STUDY
Faisal Faiyaz Zuberi, Bader Faiyaz Zuberi, Muhammad Ataullah Khan, Masood Hameed Khan
OBJECTIVE: To document the frequency of rectal varices in patients with cirrhosis of liver and compare it with that of oesophageal varices in liver and to compare the frequency of rectal varices with non-cirrhotic controls. DESIGN: A cross-sectional analytical survey. PLACE AND DURATION OF STUDY: The study was conducted in the medical wards of Civil Hospital, Karachi from August 2000 to July 2001. PATIENTS AND METHODS: All patients of confirmed cirrhosis of liver, presenting during the study period, were selected for initial workup...
February 2004: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://read.qxmd.com/read/13778016/-portal-hypertention
#19
JOURNAL ARTICLE
W TRETENHAHN
No abstract text is available yet for this article.
August 1960: Wiener Zeitschrift Für Innere Medizin und Ihre Grenzgebiete
https://read.qxmd.com/read/10374511/-establishment-of-a-new-rat-model-of-portal-hypertension-by-intraportal-injection-of-microspheres
#20
JOURNAL ARTICLE
X A Li, M Wang, K Lu
Microspheres were injected intraportally to block intrahepatic portal radicals and to produce a new rat model of portal hypertention. Different sized microspheres (15 microns, 40 microns, 80 microns) were injected into the portal vein. The resultant changes in arterial, portal, hepatic venous and splenic pulp pressures were monitored. The results showed that a small-dose injection of 80 microns microspheres (1.8 x 10(5)) produced a steady state portal venous pressure of 2.53 +/- 0.17 kPa, and all rats showed a normal arterial pressure...
January 1997: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
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