Items tagged “portal hypertension”

5 results found
Article

Idiopathic non-cirrhotic portal hypertension

Idiopathic non-cirrhotic portal hypertension is the clinical diagnosis of exclusion featuring portal hypertension without hepatic cirrhosis, vascular obstruction, schistosomiasis, or a variety of other chronic liver diseases. Terminology Prior terms for this entity include non-cirrhotic portal...
Article

TIPS evaluation

TIPS evaluation is useful to ensure that a transjugular intrahepatic portosystemic shunt (TIPS) is working properly and that no stenosis has occurred within the stent. Ultrasound is often used as a first-line modality. Radiographic features Ultrasound The normal TIPS should show color Doppler...
Article

Gastric varix

Gastric varices are an important portosystemic collateral pathway, occurring in ~20% of patients with portal hypertension. They are considered distinct from esophageal varices in that they have a propensity to hemorrhage at comparatively lower portal pressures 1, and are also associated with hig...
Article

Denver shunt

A Denver shunt, or peritoneovenous shunt, is a device used to shunt ascites to the superior vena cava in patients with refractory ascites. The proximal end is located in the peritoneal cavity and the distal end in the superior vena cava, with a subcutaneous course in the anterior chest wall. It...
Article

Serum ascites albumin gradient

The serum–ascites albumin gradient (SAAG) is the difference between the concurrently obtained serum albumin concentration and the albumin concentration of the ascitic fluid obtained during paracentesis.  Pathology A difference ≥1.1 grams/deciliter (g/dL) indicates portal hypertension as the li...

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