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Current management of sinusoidal portal hypertension.

Publication ,  Other
Ravindra, KV; Eng, M; Marvin, M
Published in: Am Surg
January 2008

Portal hypertension resulting from cirrhosis was one of the biggest challenges faced by general surgeons up until the past two decades. The management of portal hypertensive variceal hemorrhage has undergone dramatic changes during this period. Endoscopic variceal ligation and transjugular intrahepatic portosystemic shunts are currently used with great success. The degree of liver dysfunction remains the most important determinant of outcome in these patients. Patients with cirrhosis who have good liver function and recurrent variceal bleed remain candidates for shunt surgery. However, the need for surgical intervention has become a rarity. The success of liver transplantation has ensured that portal hypertension is cured permanently and one does not often see the critically ill and decompensated patient with cirrhosis on the surgical service. A review of the current treatment options in this very ill patient population is the primary focus of this article.

Duke Scholars

Published In

Am Surg

ISSN

0003-1348

Publication Date

January 2008

Volume

74

Issue

1

Start / End Page

4 / 10

Location

United States

Related Subject Headings

  • Surgery
  • Portasystemic Shunt, Surgical
  • Liver Transplantation
  • Liver Cirrhosis
  • Hypertension, Portal
  • Humans
  • Endoscopy
  • Catheterization
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ravindra, K. V., Eng, M., & Marvin, M. (2008). Current management of sinusoidal portal hypertension. Am Surg. United States.
Ravindra, Kadiyala V., Mary Eng, and Michael Marvin. “Current management of sinusoidal portal hypertension.Am Surg, January 2008.
Ravindra KV, Eng M, Marvin M. Current management of sinusoidal portal hypertension. Vol. 74, Am Surg. 2008. p. 4–10.
Ravindra, Kadiyala V., et al. “Current management of sinusoidal portal hypertension.Am Surg, vol. 74, no. 1, Jan. 2008, pp. 4–10.
Ravindra KV, Eng M, Marvin M. Current management of sinusoidal portal hypertension. Am Surg. 2008. p. 4–10.

Published In

Am Surg

ISSN

0003-1348

Publication Date

January 2008

Volume

74

Issue

1

Start / End Page

4 / 10

Location

United States

Related Subject Headings

  • Surgery
  • Portasystemic Shunt, Surgical
  • Liver Transplantation
  • Liver Cirrhosis
  • Hypertension, Portal
  • Humans
  • Endoscopy
  • Catheterization
  • 3202 Clinical sciences
  • 1103 Clinical Sciences