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      Angiographic patterns of portal venous system in children with extrahepatic portal hypertension and its etiological and clinical relevance

      , , , ,
      Pediatric Surgery International
      Springer Science and Business Media LLC

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          Abstract

          To study the relationship between the angiographic pattern of extrahepatic portal vein obstruction (EHPVO) and its etiology and clinical manifestations.

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          Most cited references26

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          Left-sided portal hypertension.

          Left-sided portal hypertension is a rare clinical syndrome which may lead to bleeding from isolated gastric varices. Pancreatic disease is the most common etiology. Left-sided portal hypertension should be considered in the presence of gastrointestinal bleeding with normal liver function and unexplained splenomegaly. It may be difficult to diagnose this entity both endoscopically and radiologically. While splenectomy is the treatment of choice for cases complicated by variceal bleeding, there is no consensus on the treatment of asymptomatic patients. The prognosis of left-sided portal hypertension mainly depends on the underlying etiology.
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            Splanchnic venous thrombosis and pancreatitis.

            Pancreatitis is an inflammatory process with local and systemic manifestations. One such local manifestation is thrombosis in splanchnic venous circulation, predominantly of the splenic vein. The literature on this important complication is very sparse. This review offers an overview of mechanism of thrombosis, its pathophysiology, diagnosis, and management in the setting of acute as well as chronic pancreatitis.
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              Portal vein thrombosis: Insight into physiopathology, diagnosis, and treatment

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                Author and article information

                Journal
                Pediatric Surgery International
                Pediatr Surg Int
                Springer Science and Business Media LLC
                1437-9813
                December 2023
                February 01 2023
                : 39
                : 1
                Article
                10.1007/s00383-023-05384-3
                36723662
                bf2f6cfd-1a15-4049-8026-f9ecc912071f
                © 2023

                https://www.springernature.com/gp/researchers/text-and-data-mining

                https://www.springernature.com/gp/researchers/text-and-data-mining

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