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REVIEW ARTICLE: REPUBLICATION
Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 73-77

Portal vein thrombosis: What surgeons need to know


1 Department of Surgery, The Ohio State University Medical Center, Columbus, OH, USA
2 Department of Surgery, The Ohio State University Medical Center, Columbus, OH; OPUS 12 Foundation, Bethlehem, PA, USA

Correspondence Address:
Dr. Stanislaw P Stawicki
St. Luke's University Health Network, Bethlehem, Pennsylvania, 18015
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCIIS.IJCIIS_71_17

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Key points: (a) The lifetime risk of portal vein thrombosis (PVT) is approximately 1%; (b) The portal vein is formed by the union of the splenic and superior mesenteric veins posterior to the pancreas; (c) Imaging modalities most frequently used to diagnose PVT include sonography, computed tomography, and magnetic resonance imaging; (d) Malignancy, hepatic cirrhosis, surgical trauma, and hypercoagulable conditions are the most common risk factors for the development of PVT; (e) PVT eventually leads to the formation of numerous collateral vessels around the thrombosed portal vein; (f) First-line treatment for PVT is therapeutic anticoagulation—it helps prevent the progression of the thrombotic process; (g) Other therapeutic options include surgery and interventional radiographic procedures including mechanical thrombectomy and thrombolysis; (h) Portal biliopathy is a clinicopathologic entity characterized by biliary abnormalities due to portal hypertension secondary to PVT and appears to be more common in cases of extrahepatic PVT. Republished with permission from: Quarrie R, Stawicki SP. Portal vein thrombosis: What surgeons need to know. OPUS 12 Scientist 2008;2(3):30-33.


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