Question 1

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 2

is there anything i can do to help dissolve a blood clot in my portal vein?  i am taking warfarin, allergic to heparin, & clot is delaying my surgery.

Accepted Answer

No: You are doing everything correctly, assuming your inr is therapeutic. No form of anti coagulation has proven better than another for portal vein thombosis.

Question 3

what is portal vein obstruction.

Accepted Answer

Portal Vein Thrombos: Occlusion of the portal vein caused by blood clots or cancer.  Patient can present with abdominal pain, when the blood clot extends to the mesenteric venous arches can lead to intestinal infarction.

Question 4

my us abd report reads  "the portal vein is patent with hepatopetal flow. portal vein velocity measures 9.2 cm/s"  the velocity is what concerns me and what does this mean exactly?  thank you!

Accepted Answer

Flow: The portal vein runs between your stomach and your liver. When you digest food the basic products are collected in your stomach circulation and delivered to your liver by the portal vein. Regular flow is 20 to 40 cm/s.  This is measured by ultrasound. The ultrasonographer takes a cross section of your portal vein and are able to measure flow. You are flowing, but your rate is slower at 9.2 cm/s

Question 5

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 6

what is the hepatic portal vein responsible for in you?

Accepted Answer

Blood to liver: The hepatic portal vein is a blood vessel which conducts blood from the gastrointestinal tract and spleen to the liver.

Question 7

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 8

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 9

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 10

why isn't fat carried into the small intesting by the portal vein?

Accepted Answer

Fat's in portal vein: The fat particles digested and absorbed from the small intestine are indeed carried by the hepatic portal vein, from the small intestine to the liver, for processing into the types of fatty "lipids" the human body needs. Over the thousands of years that humans roamed the earth in search for food, they evolved this efficient system for removing the maximum amount of nutrients from the intestines.

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Doctor answers about:

Portal vein thrombus

A member asked:

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

A member asked:

Is there anything i can do to help dissolve a blood clot in my portal vein? i am taking warfarin, allergic to heparin, & clot is delaying my surgery.

A member asked:

What is portal vein obstruction.

A member asked:

My us abd report reads "the portal vein is patent with hepatopetal flow. portal vein velocity measures 9.2 cm/s" the velocity is what concerns me and what does this mean exactly? thank you!

A member asked:

What is portal vein embolization for?

A member asked:

What is the hepatic portal vein responsible for in you?

A member asked:

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

A member asked:

What are the risks of undergoing a portal vein bypass?

A member asked:

Portal vein thrombosis?

A member asked:

Why isn't fat carried into the small intesting by the portal vein?

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