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Doctor insights on: Hepatopedal Flow In The Main Portal Vein

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Dr. Ted King
1,879 Doctors shared insights

Veins (Definition)

Veins are thin walled vessels that carry deoxygenated blood ...Read more


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Hyperchoic nodular area in the liver anterior to the main portal vein measuring up to 1.4 cm. What?

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

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What is portal hypertension with enlargement of main portal vein with presence of perisplenic and perigastric variceals? How serious is this?

What is portal hypertension with enlargement of main portal vein with presence of perisplenic and perigastric variceals? How serious is this?

Has risk: Portal hypertension is the elevation of porta pressure. May occur in liver cirrhosis. Varices are dilation of vessels making them susceptible to bleeding. Alcohol should be avoided and beta blockers may be helpful in reducing portal pressure. ...Read more

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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?

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?

Yes ur liver and: Kidney problems can cause nausea. Ask from ur dr prescription meds for nausea. Take care and god bless u! http://herbs. Lovetoknow. Com/herbal_remedy_for_cirrhosis http://health. Howstuffworks. Com/wellness/natural-medicine/home-remedies/home-remedies-for-nausea. Htm. ...Read more

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I paid 49 dollars this morning for question-does stage4 cirrhosis cause portal lymph nodes to swell in main portal vein and pancreas and splenic hilum?

I paid 49 dollars this morning for question-does stage4 cirrhosis cause portal lymph nodes to swell in main portal vein and pancreas and splenic hilum?

Portal hypertension: And swelling is a result of impaired venous return due to cirrhosis. Lymph node swelling could be due to concurrent conditions that can effect lymph nodes. Virus? Cancer? ...Read more

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Sll diagnosed in 2010. 66 y/o fe in good health. Enlgd nodes submandibular+axillary+1.5cm lt iliac vessels+9mm at main portal vein. Stage? Prognosis?

Sll diagnosed in 2010. 66 y/o fe in good health. Enlgd nodes submandibular+axillary+1.5cm lt iliac vessels+9mm at main portal vein. Stage? Prognosis?

Good: It can be many years, in general, provided that no poor molecular-fish abnormalities. Stage is most likely ii, but iii if illiac nodes are abnormal 9 mm is close to normal, somebtimes pet scan help to make a better staging, but not usefull clinically at this time since treatment will nkt change. ...Read more

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66yo female w indolent sll has small but enlarged node at main portal vein. No enlargmt of liver or spleen. Might this cause stomach pain & fullness?

66yo female w indolent sll has small but enlarged node at main portal vein. No enlargmt of liver or spleen. Might this cause stomach pain & fullness?

SLL/CLL: This b cell non-hodgkins lymphoma may produce gastric (stomach) disease and this can be detected in numerous ways. Discuss with the oncologist seeing you. The gastric involvement is often associated with helicobacter infection. ...Read more

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

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

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

Dr. John Ho Dr. Ho
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What is portal vein embolization for?

Dr. John Ho Dr. Ho
1 doctor agreed:
What is portal vein embolization for?

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

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What are the risks of undergoing a portal vein bypass?

What are the risks of undergoing a portal vein bypass?

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. ...Read more

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What is a portal vein thrombosis like?

What is a portal vein thrombosis like?

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

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What are the usual effects of portal vein thrombosis?

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

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What vein drains the stomach and empties into the hepatic portal vein?

What vein drains the stomach and empties into the hepatic portal vein?

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

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What is portal vein obstruction.

What is portal vein obstruction.

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

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What is the hepatic portal vein responsible for in you?

What is the hepatic portal vein responsible for in you?

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

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

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

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

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Portal vein thrombosis?

Portal vein thrombosis?

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. ...Read more

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

Depends: Several ways to treat based on size, location and other parameters. Blood thinners are routine. ...Read more

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What is the prognosis of blood vomiting due to portal vein pressurr?

What is the prognosis of blood vomiting due to portal vein pressurr?

Esophageal varices: Vomiting blood as a consequence of portal hypertension is a very bad sign for advanced liver disease. Consultation with a GI specialist is necessary, and intervention with certain meds and procedures will be important. ...Read more

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What doctors take care of portal vein thrombosis?

What doctors take care of portal vein thrombosis?

Vascular Surgeon: Portal vein thrombosis can occur due to several reasons. Gastroenterologists or liver surgeons may encounter it, but consultation with a vascular surgeon should be requested. ...Read more

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Suffering from portal vein thrombosis and cirrhosis of the liver?

Suffering from portal vein thrombosis and cirrhosis of the liver?

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

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Hepc, cirohsis, report shows portal vein is mildly prominent and measures 12.5cm. No evidence of thrombosis. How bad is it?

Hepc, cirohsis, report shows portal vein is mildly prominent and measures 12.5cm. No evidence of thrombosis. How bad is it?

Well,: 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

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I have heard the tipps procedure is good for about a year, is this right? Placed for portal vein hypertension with esld.

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

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Can you tell me how hepatic portal vein anastomose with superior vena cava and inferior vena cava?

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

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Coarse echotexture of liver parenchymal. Portal vein/spleen/pencreas normal. No focal lesion seen. Pv10mm. Cbd 4.6mm. Kidnys normal. No postvoid residue?

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

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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

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

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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.?

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.?

Talk to her doctor: There are several things that can lead to abdominal pain with portal vein thrombosis. Some of them could be serious so I think it is best to have her evaluated by her doctor and follow his / her recommendations. ...Read more

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Will drinking alcohol bring back the pain from my portal vein thrombosis?

Will drinking alcohol bring back the pain from my portal vein thrombosis?

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

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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