A member asked:

If portal hypertension is suspected in a patient who is showing possible ascites, how is portal hypertension confirmed (particularly for those who's liver is not entirely cirrhotic) ?

6 doctors weighed in across 2 answers
Dr. Ira Katz answered

Specializes in Endocrinology

Various - Ultrasound: To make an ABSOLUTE diagnosis TRADITIONALLY required an invasive technique of a catheter introduced into the portal vein and something called wedge pressures were taken at different sites to measure the pressures. TODAY it can be done NON-INVASIVELY with an ultrasound and measuring pressures based on blood flow. MRI can be used as well. Lastly, endoscopy can be used to look for advanced dz/varices

Answered 11/19/2015

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CT is the best: study for demonstrating signs of portal hypertension in a liver disease setting. Thanks for trusting in HealthTap.

Answered 11/17/2015

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