Doctor insights on:
Cavernous Transformation Of The Portal Vein Treatment
Anatomy: Simple answer - the portal venous system carries blood away from the intestines to the liver (where nutrients are metabolized). ...Read more
Blood to liver: The hepatic portal vein is a blood vessel which conducts blood from the gastrointestinal tract and spleen to the liver. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Pv: We usually use portal vein embolization to preferentially grow a segment of liver that we choose while shrinking a segment of liver we want to get rid of. For instance, if we want to respect part of the liver we can first get the remaing liver to hypertrophy by embolizing the vein that feeds the segment that's coming out ...Read more
Portal vein: Is the vein that collects the blood reach in absorbed fatty particles, protein particles and sugars form the entire gut and will bring all these to the liver that will process them. Obstruction means that the the flow in this vein is "obstructed" it depends however where is the location: b4 the liver, in the liver or above the liver. Hope a gstroenterologist is overlooking this case... ...Read more
Hepc, cirohsis, report shows portal vein is mildly prominent and measures 12.5cm. No evidence of thrombosis. How bad is it?
It is not the best of signs. You have portal hypertension. I hope you are under the care of a GI doctor even better a liver specialist aka as a hepatologist.
Were you examined for signs of portal hypertension in your esophagus? If not, you should. Have you explored the possibility of a liver transplant. This is not my specialty so I am asking only from a theoretical point of view. ...Read more
There may be help: Depending on how much of your portal vein is thrombosed and how bad your cirrhosis is, there is a chance that the vein can be reopened and a TIPS procedure be performed. An MRI is usually done to help evaluate the possibility. Have your doctor refer you to an Interventional Radiologist who performs these procedures. Check out www. Sirweb. Org for more info on TIPS and portal hypertension. ...Read more
Hyperchoic nodular area in the liver anterior to the main portal vein measuring up to 1.4 cm. What?
Radiologist's opinio: There are some fleshy benign conditions like hamangiomas, lipomas, cysts in the liver-congenital, cysts related to dog tape worms -hydatid cysts. Some are hyperechoic and some are hypo. If it is a single nodule, cirrhosis (scarring) is less likely as multiple nodules like this occur most of times. Do you have alcohol use, drug induced liver damage. Radiologist's opinion first, then get your dr's. ...Read more
I have heard the tipps procedure is good for about a year, is this right? Placed for portal vein hypertension with esld.
Stenosis: The incidence of tips stenosis with uncovered stents is high and increases with time. The rate of stenosis at 6-12 months is about 75%. If stenosis occurs, dilation and insertion of additional stents can be performed. Coated stents reduce the incidence of stenosis. Your doctor will periodically monitor your tips for patency. ...Read more
Had a liver ultrasound. What does "main portal vein is patent and demonstrates a systolic flow rate of 32.2cm/sec. Flow is hepatopetal, mean
It is: A normal portal vein.Get a more detailed answer ›
What is portal hypertension with enlargement of main portal vein with presence of perisplenic and perigastric variceals? How serious is this?
Can you tell me how hepatic portal vein anastomose with superior vena cava and inferior vena cava?
Normal anatomy?: The portal vein is majority blood supply to the liver. It carries nutrient-rich blood from the gut to the liver. After passing through the liver, blood leaves via the hepatic veins and enters the inferior vena cava. There is a procedure, called TIPS, which creates a direct shunt between the portal vein and hepatic vein. ...Read more
Coarse echotexture of liver parenchymal. Portal vein/spleen/pencreas normal. No focal lesion seen. Pv10mm. Cbd 4.6mm. Kidnys normal. No postvoid residue?
Need more info: Coarse texture on ultrasound can be from several reasons, fibrosis or cirrhosis of the liver, or inflammation or infiltration of the liver, and in some patients may be age related. It would be useful to know if the liver function tests are normal, if there is a history of liver disease including hepatitis, alcohol use or fatty liver changes. The ultrasound otherwise is not concerning. ...Read more
I have a 13 year old son with portal vein hypertension. Portal vein thrombosis. I need help. Please help my son. I am ready to do everything for him
Very difficult: I recommend taking him to a specialized center or tertiary care center. There are many reasons why this condition happens and the treatments will be different. The initial treatment is to thin the blood. ...Read more
My wife having portal vein thrombosis, she is taking warfarin 5 mg daily, but she has the severe abdopain pain. Pl.Give me guidence for relief of abdo.?
I am concerned: About ANYONE who would ask that question, and that concern is that you have either alcohol abuse or dependence. You are also on Flagyl, which has an antabuse-like reaction if alcohol is taken with it. You should be asking this question of your doctor, but I strongly suspect you know what that physician would say, and that is why you are asking online. Discuss your drinking with a counselor. ...Read more
I have portal vein thrombosis as well as a clot in my right kidney and ovary. How uncommon is my condition? Can the clots be removed?
Very uncommon: Pv thrombosis is a very uncommon condition and is usually seen in a setting of hypercoagulablility, the over propensity of blood to clot, either due to medications or conditions. The clots are not removed surgically, but with anticoagulation (a type of medicine which you should be on) and your body's clot dissolving mechanisms will work together to dissolve the clots and keep more from forming. ...Read more
I have portal hypertension with enlargement of main portal vein along with renal disease. I am so toxic! Do of these cause that plus nausea?
No but,,: A low INR is not a direct cause if pain. It stands for International Normalized Ratio and is the ratio of the patients prothrombin time to a normal prothrombin time value raised to the power of the ISI (international Sensitivity Index) or a ratio of tissue factor to a reference tissue factor. However if it's low it can mean that the blood is clotting more and can lead to thrombosis in patients. ...Read more
If both hepatic portal vein and hepatic arteries have thrombosis how long would it take for the liver to become necrotic?
Liver ischemia: There are 2 blood supplies to the liver. The portal vein which supplies about 80% and the hepatic artery which supplies about 20%. If both are occluded the liver can become ischemic and die. This can happen right away. If one is occluded in one of the larger branches though blood can find other routs to get to the liver tissue. Also, the thrombus may recannalize and some blood may get through. ...Read more
I have an ultrasound showing enlarged liver measuring 16.9 CM with raised echogencity, c.b.d, portal vein, ivc & hepatic veins are normal.
Fatty liver?: Increased echogencity of liver usually related to fat deposition in overweight individuals. Nonalcoholic fatty liver disease (NAFLD) now most common cause of chronic liver disease in the U.S. Fatty liver can also occur after drinking moderate or large amounts of alcohol. Sometimes elevation of liver enzymes. Nonalcoholic steatohepatisis (NASH) similar to alcoholic liver disease in nondrinkers. ...Read more
- Talk to a doctor online
- What is portal vein thrombosis?
- Acute portal vein thrombosis
- Hepatic portal vein
- Ayurvedic herbs for portal vein thrombosis
- Hepatopedal flow in the main portal vein
- What are the usual effects of portal vein thrombosis?
- Main portal vein is patent and exhibits hepatopetal flow
- Blood clot in portal vein