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Construction and validation of a predictive model for the risk of rebleeding in patients with esophageal and gastric varices hemorrhage.
BMC Gastroenterol
December 2024
Department of Gastroenterology, the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, 116011, China.
Background And Purpose: Esophageal and gastric varices hemorrhage (EGVH) is a life-threatening condition with the 6-week mortality rate of 15-25%. Up to 60% of patients with EGVH may experience rebleeding with a mortality rate of 33%. The existing scoring systems, such as RS scoring system (Rockall score, RS) and GBS scoring system (Glasgow-Blatchford score, GBS), have limitations in predicting the risk of rebleeding.
View Article and Find Full Text PDFBRTO for ectopic small intestinal varices bleeding via dilated superior mesenteric veins and left ovarian vein: A case report.
Radiol Case Rep
February 2025
Departments of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Ectopic Variceal Bleeding is a rare complication of portal hypertension, often difficult to manage and potentially life-threatening. However, established guidelines directing treatment are lacking. This report presents a 51-year-old female with hepatitis B-related cirrhosis, who experienced rare small intestinal bleeding due to varicose veins in the superior mesenteric vein and left ovarian vein.
View Article and Find Full Text PDFPercutaneous management of chronic total occlusion of the portal vein: a retrospective analysis of technical aspects and outcomes.
CVIR Endovasc
November 2024
Department of Radiology, ASST Papa Giovanni XXIII Hospital, Piazza OMS, 1, Bergamo, 24127, Italy.
Background: Chronic total occlusion (CTO) of the portal vein is one of the main causes of portal hypertension, which may result in life-threatening complications often managed by interventional radiology (IR). The aim of this study is to report the innovative experience with percutaneous revascularization therapy in the management of portal vein CTO in paediatric and adult patients.
Materials And Methods: From January 2020 to December 2023 consecutive paediatric and adult patients with severe portal hypertension resulting from portal vein CTO who underwent attempts at percutaneous recanalization were retrospectively reviewed.
Left-sided portal hypertension: what an interventional radiologist can offer?
Eur Radiol
November 2024
Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, 751019, India.
Left-sided portal hypertension (LPH) refers to increased splenic venous pressure caused by splenic vein stenosis or occlusion. Pancreatitis is the leading cause of LPH. Typically, LPH remains asymptomatic, but it can lead to life-threatening hemorrhage from ruptured fundal varices in about 10% of patients.
View Article and Find Full Text PDFNon-cirrhotic portal hypertension in pregnancy due to schistosomiasis: A case series.
Obstet Med
April 2024
Department of Internal Medicine, University of the Witwatersrand, Johannesburg and Obstetric Internal Medicine Unit, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.
Article Synopsis
- The article examines the risks associated with non-cirrhotic portal hypertension during pregnancy, highlighting potentially severe complications like bleeding and infections.
- The physiological changes of pregnancy can exacerbate existing portal hypertension, complicating the health of both the mother and fetus.
- The authors present four case studies from a low to middle-income context and explore existing research on managing this condition in pregnant women.
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