PORTAL HYPERTENSION Flashcards
iselevated blood pressurein your portal vein and the smaller veins that branch off from it — your portal venous system.
Portal hypertension
drains blood from your stomach, intestines, pancreas and spleen into yourliverthrough the portal vein.
portal venous system
In Western nations, portal hypertension is most commonly caused by
cirrhosis of the liver.
In other areas of the world, a parasite infection called___is the more common cause portal hpn
schistosomiasis
is the most common cause of hospitalization and death in people with cirrhosis.
. Portal hypertension
5 main symptoms of portal hypertension
Blood in vomit.
Blood in poop.
Bloated stomachwith rapid weight gain (from fluid).
Swelling in your legs and feet (edema).
Mental confusion or disorientation.
But when blood bypasses your liver, it doesn’t get filtered as it was supposed to. Toxins accumulate in your blood and eventually affect your mental function. You may have temporary bouts of confusion or disorientation, called
hepatic encephalopathy.
are collections of inflammatory cells that accompany various infections and inflammatory diseases
Granulomas of the liver
can produce images of blood moving through your veins.
Doppler ultrasound
means injecting a solution into the bleeding varices to control the bleeding.
Sclerotherapy
means tying off bleeding varices with tiny rubber bands.
Banding
In this nonsurgical procedure, a physician called an interventional radiologist uses X-ray imaging to guide the placement of a stent in your liver. They use a needle to tunnel through your liver and connect the portal vein with one of your hepatic veins, diverting blood flow and relieving pressure. They place a stent to keep the tunnel open.
Transjugular intrahepatic portosystemic shunt
The procedure disconnects your splenic vein from your liver and diverts it to your left kidney vein instead, selectively reducing blood flow and pressure through both your liver and your spleen.
Distal splenorenal shunt
