Question 1

what will be the  normal results for a portal vein bypass?

Accepted Answer

TIPSS?: Patients with refractory ascites (maximum diuretic doses not sufficient to control ascites or unacceptable adverse effects/complications with diuretic therapy) can be managed with large-volume paracentesis (lvp) and Albumin replacement or transjugular intrahepatic portosystemic shunt (tipss) placement. Although tipss has been shown to be more effective than lvp and alb. Gives more encephalopathy.

Question 2

is this bad?the portal vein is mildly prominent in caliber measuring up to 1.3 cm.it demonstrates hepatopetal flow.non-specific mild prominence of the portal vein can be seen in the setting of early portal hypertension in appropriate clinical setting?

Accepted Answer

: The portal vein size of 1.3 cm (13 mm) is not grossly abnormal and hepatopetal flow is the correct (normal) flow direction (draining to the liver). Yes, portal vein size is bigger in conditions which cause portal hypertension such as liver cirrhosis. You doctor has to correlate your medical history, physical exam, lab results and liver ultrasound findings for the correct assessment.

Question 3

what are the risks of undergoing a portal vein bypass?

Accepted Answer

Bleeding, infection: As with any procedure, there are risks of bleeding and infection.  There could be technical complications from doing the procedure, and there can also be development of encephalopathy (confusion) related to liver disease.

Question 4

what is a portal vein thrombosis like?

Accepted Answer

Depends on cause: Patients can present emergently with sudden onset of right upper quadrant pain, nausea, and/or fever. However, most commonly the symptoms of the primary infectious and inflammatory condition that led to portal vein obstruction predominate. For example, pain related to pancreatitis. In the chronic phase, patients most often present with complications related to bleeding from enlarged veins in belly.

Question 5

what are the usual effects of portal vein thrombosis?

Accepted Answer

Portal vein: Portal vein thrombosis is clotting in hepatic portal vein, which can lead to portal hypertension and reduction in the blood supply to the liver. Complications include splenomegaly, esophageal and gastric varices (which can bleed), portal hypertensive gastropathy and ascites. treatments include anticoagulants, shunts, bypass surgery, and transplants.

Question 6

what vein drains the stomach and empties into the hepatic portal vein?

Accepted Answer

Anatomy class: The right gastric vein (pyloric vein) drains blood from the lesser curvature of the stomach into the hepatic portal vein. It is part of the portal circulation. The left gastric vein (also known as the coronary vein) drains both gastric walls. It forms a loop with the right gastric vein at the lesser curvature of the stomach.

Question 7

what is portal vein embolization for?

Accepted Answer

Liver resection: Pve is used in the preoperative planning and treatment of patients with liver tumors anticipating major liver resections.  Pve is used where the liver tumors are large and initial removal will result in only a small portion of normal liver remaining.  Embolization of the tumor cuts off the blood supply and the remaining normal liver grows larger over several weeks, allowing major resection.

Question 8

portal vein thrombosis?

Accepted Answer

Clotting of vein: The portal vein carries blood from bowel to the liver. It also runs near the pancreas. Portal vein thrombosis can occur with inflammatory conditions or cancers. Patient may need blood thinners or other treatments.

Question 9

how would you treat as blood clot in a portal. vein?

Accepted Answer

Depends: Several ways to treat based on size, location and other parameters. Blood thinners are routine.

Question 10

what is the prognosis of blood vomiting due to portal vein pressurr?

Accepted Answer

Esophageal varices: Vomiting blood as a consequence of portal hypertension is a very bad sign for advanced liver disease.  Consultation with a GI specialist is necessary, and intervention with certain meds and procedures will be important.

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Cavernous transformation of the portal vein treatment

A member asked:

What will be the normal results for a portal vein bypass?

A member asked:

Is this bad?the portal vein is mildly prominent in caliber measuring up to 1.3 cm.it demonstrates hepatopetal flow.non-specific mild prominence of the portal vein can be seen in the setting of early portal hypertension in appropriate clinical setting?

A member asked:

What are the risks of undergoing a portal vein bypass?

A member asked:

What is a portal vein thrombosis like?

A member asked:

What are the usual effects of portal vein thrombosis?

A member asked:

What vein drains the stomach and empties into the hepatic portal vein?

A member asked:

What is portal vein embolization for?

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Portal vein thrombosis?

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How would you treat as blood clot in a portal. vein?

A member asked:

What is the prognosis of blood vomiting due to portal vein pressurr?

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