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!

Question

What does it mean to say portal and hepatic veins are patent?

Answer 1

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

Answer 2

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.

Answer 3

Anatomy: Simple answer - the portal venous system carries blood away from the intestines to the liver (where nutrients are metabolized).

Answer 4

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.

Answer 5

Lower portal press: Portal vein bypass is a means of treating high blood pressure in the portal vein system. This often happens b/c of cirrhosis of the liver. Portal vein hypertension can result in severe bleeding from the esophagus. Decreasing the pressure can treat this. It doesn't fix the liver failure historically this was a open surg procedure with significant risks. Often now this is done by radiology (tips).

Answer 6

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.

Answer 7

Low compared to NOT: If you need it, you are in trouble. It is a serious operation all operations carry risks of dying, bleeding, infection, failure, and those specific risks will be clarified by your surgeon in preparation. Risks, benefits and alternatives discussion is done prior to your consenting to any operation.

Answer 8

Laser specialist: There are dermatologists and ophthalmologists who specialize in treatment of veins of the eyelids using certain lasers. Treating the upper eyelids with lasers usuallly requires special protective eyeshields that are placed inside the eye along with a protective lubricant and numbing drops. Very important to make sure the doctor is highly experienced and trained to perform these treatments.

Answer 9

Cosmetic Surgeon: If you have noticeable blood vessels on your face and eyelids you may benefit from seeing a dermatologist, or plastic surgeon that is trained in cosmetic & laser surgery. What you have can most likely be treated with 1-2 treatments using a vascular laser.

Answer 10

Anatomical Variant: In most people the left renal vein passes in front of the aorta. A retro aortic renal vein is an anatomical variation in which the left renal vein passes behind the aorta.

Answer 11

Anatomic issue: The left renal vein normally runs over or anterior to the aorta. In some patients the left renal vein congenitally courses behind the aorta. This is mainly an anatomical issue and does not mean much for the patients. It means a lot to the surgeon doing open aneurysm repair of the aorta.

Answer 12

Common variant: The left renal vein drains the left kidney into the inferior vena cava (ivc). To get there, it has to go around the aorta. Most often, this path is in front of the aorta. Less commonly, it passes behind (retro aortic). This is of no significance unless surgery in that area is necessary, in which case it's helpful for the surgeon to know ahead of time.

Answer 13

Normal: Congenital variant where left renal vein passes behind instead of in front of the aorta. Usually not significant.

Answer 14

Anatomical variant.: The usual left renal vein passes from the left kidney in front of the aorta to the inferior vena cava. A retroaortic left renal vein passes behind the aorta from the left kidney to the IVC.

Answer 15

Vein: The left kidney vein usually runs anterior to aorta. Yours runs behind. This can have implications for renal vein compression

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!

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