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A 24-year-old male 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) ?

2 doctor answers6 doctors weighed in
Dr. Ira Katz
A Verified Doctoranswered
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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
Dr. Ira Katz
A Verified Doctor commented
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Provided original answer
This is a very technical article, but if you want the details may be something you want to look at: http://www.wjgnet.com/1007-9327/full/v21/i41/11542.htm
Nov 17, 2015
Dr. John cuong Doan
Family Medicine 18 years experience
CT is the best: study for demonstrating signs of portal hypertension in a liver disease setting. Thanks for trusting in HealthTap.

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Last updated Nov 19, 2015

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