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Topic: Portal vein


  
 Diabetes: Portal Vein Afferents Are Critical for the Symp... @ HighBeam Research
During portal vein glucose infusion, we previously observed a 67 and 50% attenuation in the epinephrine and norepinephrine responses, respectively.
That is, in portally denervated animals, normalization of portal vein glucose during systemic hypoglycemia yielded no suppression in the catecholamine response to systemic hypoglycemia, unlike that observed for SHAM (P = 0.90).
Quantitatively, the similar suppression of the sympathoadrenal response by either denervation or normalization of portal vein glycemia suggests that the two experimental approaches elucidate the same population of glucosensors.
http://www.highbeam.com/library/doc0.asp?DOCID=1G1:59017982&refid=ip_encyclopedia_hf   (3548 words)

  
 Portal vein thrombosis - Children's Memorial Hospital (Chicago, IL)
A vein from the patient is used to construct a bridge.
Much of the food we eat is broken down in the stomach and intestines and is brought to the liver by the portal vein for further processing.
In the five years since our first patient received the Rex shunt, we have refined and changed the technique so that it can be applied to a wider number of patients with EHPVT.
http://www.childrensmemorial.org/depts/gastroenterology/liver/portalHypertension.asp   (1021 words)

  
 eMedicine - Portal Vein Obstruction : Article by Adnan Said, MD
Inherited and acquired disorders of the coagulation pathway are frequent causes of portal vein thrombosis.
In the setting of acute portal vein thrombosis with symptoms, shunt surgery with subsequent anticoagulation therapy is an alternative.
Of all cases of portal hypertension in developing countries, 40% are attributed to portal vein obstruction, presumably secondary to an increased incidence of pylephlebitis associated with abdominal infections.
http://www.emedicine.com/MED/topic1891.htm   (4628 words)

  
 JPMA :::
Portal hypertension results in the development of collaterals to bypass the increased resistance to flow within the portal bed and to return blood to the systemic circulation.
Predictive value of the variceal pressure response to continued pharmacological therapy in patients with cirrhosis and portal hypertension.
Hence, the primary objective of drug, radiologic, and surgical therapy for portal hypertension is the reduction of HVPG, the target value being 12 mmHg.1 TIPS and surgical shunts achieve this target by creating a low-resistance channel between the hypertensive portal system and the inferior vena cava system.
http://jpma.org.pk/JPMA/01Jan05/fulltext13.htm   (1212 words)

  
 Distal Splenorenal Shunt Procedure
The distal splenorenal shunt is a surgical procedure.
Fig 1: Portal hypertension before the distal splenorenal shunt surgery is performed.
Figure 1: Portal hypertension before the distal splenorenal shunt surgery is performed.
http://www.clevelandclinic.org/health/health-info/docs/0100/0183.asp?index=4950   (1017 words)

  
 TIPS
Once the passage between the hepatic and portal veins has been established with a needle, a guidewire is threaded through the needle to maintain the passage.
Ruptured esophageal varices may be controlled by any one or all of the following therapies: compression of bleeding vessels using a balloon-tamponade tube, infusion of vasopressin and nitroglycerin to decrease portal venous pressure, or sclerotherapy.
Studies have shown that TIPS is a successful alternative to surgery in the short-term (portal hypertension.
http://www.med.umich.edu/ccmu/tips.htm   (610 words)

  
 Ask Dr. Stephan Moll - Portal Vein Thrombosis, Mesenteric Vein Thrombosis, Budd-Chiari Syndrome
In view of the lack of data there is no right or wrong regarding length of warfarin therapy in patients with portal vein thrombosis.
Condat B et al.: "Current outcome of portal vein thrombosis in adults: risk and benefit of anticoagulant therapy".
Discussion about length of coumadin® therapy is essential for this patient (see discussion below).
http://www.fvleiden.org/ask/34.html   (1343 words)

  
 Portal Hypertension (PHTN)
Another source of resistance could be the collateral circulation which begins as a consequence of portal hypertension to ease the tension from the portal system.
- in 1800, splenoctomy was the primary therapy for portal hypertension because they noticed that enlarged spleen often seen in patients with cirrhosis led to increased portal venous flow.
- There is no definitive treatment for portal hypertension.
http://www.angelfire.com/ky/IBMS/phtn.html   (1181 words)

  
 Interventional Radiology : Trans-jugular Intra-hepatic Porto-systemic Shunt (TIPS)
Once satisfactory portal vein access has been achieved a guide wire is advanced into the portal venous system and the vascular sheath is forced over the needle prior to its withdrawal to facilitate needle exchange for an angiographic catheter.
The occurrence of PSE is not correlated with the loss of antegrade portal blood flow.
If a middle or left hepatic venous approach has been used, the needle is advanced in a direct caudal or slightly posterocaudally towards the left portal vein.
http://www.ijri.org/20011101/interrad01.htm   (2931 words)

  
 Deficiency of natural anticoagulant proteins C, S, and antithrombin in portal vein thrombosis: a secondary phenomenon? ...
Idiopathic noncirrhotic intrahepatic portal hypertension: a re-evaluation of aetiology and outcome.
using adjunctive propranolol therapy to lower portal pressure.
portal sclerosis (NCPHT), a disease which probably has a similar
http://gut.bmjjournals.com/cgi/content/full/46/4/534   (3144 words)

  
 Adjunctive 3D US for Achieving Portal Vein Access during Transjugular Intrahepatic Portosystemic Shunt Procedures -- ...
On a transverse image, the center of rotation was placed over the catheterized right hepatic vein (arrowheads) approximately 2 cm lateral to the inferior vena cava, where the origin of the needle pass was anticipated.
vein at the desired point of origin of the needle pass, 3D US volume acquisition was performed.
This information suggests that either the cannula needs to be bent significantly or a middle hepatic vein be used for needle pass initiation.
http://www.jvir.org/cgi/content/full/11/6/807   (6213 words)

  
 Bradykinin B1 Receptor Expression Induced by Tissue Damage in the Rat Portal Vein: A Critical Role for ...
Mechanisms involved in the contractile responses of kinins in rat portal vein rings: mediation by B
ERK, JNK, and p38 MAPK pathways after rat portal vein incubation.
To assess the effect of rat portal vein isolation on NF-
http://circres.ahajournals.org/cgi/content/full/94/10/1375   (3832 words)

  
 Portal Hypertension -- eCureMe.com
Portal hypertension is a condition in which there is an increase in the pressure within the portal vein.
By doing this, the pressure within the portal vein is reduced and, hopefully, the complications will also be reduced.
The first thing to consider in the treatment of this condition is the underlying cause of the problem.
http://www.ecureme.com/emyhealth/data/Portal_Hypertension.asp   (1159 words)

  
 THE MERCK MANUAL--SECOND HOME EDITION, Portal Vein Thrombosis in Ch. 138, Blood Vessel Disorders of the Liver
Sometimes, instead of surgery, a radiologist can connect the hepatic venous system to the portal vein by passing a needle through the skin and directly into the liver; guide wires and catheters are then inserted through the needle and used to create a shunt.
A doctor can feel an enlarged spleen, which may be tender.
Portal vein thrombosis can be caused by any blood clotting disorder or by any condition that backs up blood in the portal vein, such as Budd-Chiari syndrome, chronic heart failure (see Heart Failure), or chronic constrictive pericarditis (see Pericardial Disease: Chronic Pericarditis).
http://www.merck.com/mmhe/sec10/ch138/ch138e.html   (616 words)

  
 Portal Hypertension
Medications such as propranolol and isosorbide may be prescribed to lower the pressure in the portal vein and reduce the risk of recurrent bleeding.
Before either the TIPS or DSRS procedure, your physician may ask you to have other pre-operative tests, which may include an electrocardiogram (also called an EKG), chest X-ray or additional blood tests.
The effects of portal hypertension can be managed through diet, medications, endoscopic therapy, surgery or radiology.
http://www.clevelandclinic.org/health/health-info/docs/0200/0252.asp?index=4912   (1619 words)

  
 Low-power Transverse Ultrasonic Treatment of Portal Vein Thrombosis in an Animal Model -- Goldberg et al. 13 (9): 915 ...
of portal venous hypertension and markedly limits therapeutic
herald a new approach for treating portal venous thrombosis
Transjugular intrahepatic portosystemic shunt (TIPS) for Budd-Chiari syndrome or portal vein thrombosis: review of indications and problems.
http://www.jvir.org/cgi/content/full/13/9/915   (3497 words)

  
 Clinical features, diagnosis and outcome of acute portal vein thrombosis -- Sheen et al. 93 (8): 531 -- QJM
The clinical features of acute portal vein thrombosis (APVT)
features and consequences of acute portal vein thrombosis have
Between 1996 and 1998, nine patients presented with varying
http://qjmed.oxfordjournals.org/cgi/content/full/93/8/531   (1347 words)

  
 Interaction of equal increments in arterial and portal vein insulin on hepatic glucose production in the dog -- ...
Other studies investigating the effects of peripheral and portal
Data are expressed as group means ± SE.
The goal of our study, therefore, was to determine whether the
http://ajpendo.physiology.org/cgi/content/full/273/5/E972   (5467 words)

  
 Cirrhosis and Portal Hypertension -- familydoctor.org
If this procedure isn’t successful, a person with portal hypertension may need to have a surgeon connect the blood vessels in such a way that the blood doesn’t flow through the liver.
Your doctor may use Doppler ultrasound (sound waves used to make a picture) to look at your liver.
familydoctor.org Home > Conditions A to Z > Addictions > Cirrhosis and Portal Hypertension
http://familydoctor.org/handouts/188.html   (822 words)

  
 Portal Vein Thrombosis in child
Your child sounds like someone who could be helped greatly by diverting blood from the intestines back into the liver instead of through the spleen or gastric varices where they can do harm.
Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.
The liver dysfunction is most likely due to an insufficient blood supply getting to the liver.
http://www.medhelp.org/forums/gastro/messages/35651.html   (505 words)

  
 Portal Vein Embolization : A method of liver cancer treatment.
Portal vein embolization is a liver cancer treatment technique originally pioneered in the 1980’s by a leader in liver surgery from Japan, Masatochi Makuuchi.
Portal Vein Embolization : A method of liver cancer treatment.
Most liver cancer patients do not require this technique.
http://www.livercancertreatment.org/treatment/embolization.asp   (155 words)

  
 Portal Vein Bypass aHealthyAdvantage
Portal pressure can also be reduced in a procedure called transvenous intrahepatic portosystemic shunt (TIPS).
Portal vein bypass surgery is high risk because it is performed on patients who are generally in poor health.
Under these conditions, half the patients may not survive the operation.
http://www.ahealthyadvantage.com/topic/topic100587326   (716 words)

  
 New York University Interventional Radiology - Portal Hypertension
Laxatives, lactalose, and antibiotics (medications that remove toxins from the intestines).
Along with these endoscopic therapies, patients receive intravenous blood pressure-lowering medications, such as:
Portal hypertension is assumed if a person with liver disease also has ascites, varices, or encephalopathy.
http://nyuir.vasculardomain.com/images/uploaded/nyuir/ph.cfm   (460 words)

  
 Portal vein --  Britannica Student Encyclopedia
The human liver is divided into a large right lobe and a smaller left lobe that overhang the stomach and intestine.
The portal system may be described as a specialized portion of the systemic circulatory system.
Portal hypertension is the increased pressure in the portal vein and its tributaries.
http://www.britannica.com/ebi/article-9333539?tocId=9333539   (899 words)

  
 Portal Vein Thrombosis - MedPix™ Medical Image Database and Teaching Files
Complete occlusion leads to portal hypertension and portal-systemic collateral channels.
Infusion of plasminogen activators through a percutaneous transhepatic approach was shown to be effective in patients with active ulcerative colitis.
Portal vein thrombosis is associated with malignancy, protein C and S deficiency, ulcerative colitis, Behcet's disease, cirrhosis, and secondary to instrumentation (e.g.
http://rad.usuhs.mil/medpix/radpix.html?mode=single&comebackto=mode=contrib_browse&recnum=1446   (195 words)

  
 Portal Vein and Mesenteric Artery MRA Protocols
Comparison of dynamic contrast enhanced MRI and Doppler ultrasound in the pre-operative assessment of the portal venous system.
Imaging of the portal venous system in patients with cirrhosis: MR angiography versus duplex Doppler sonography.
Time-of-flight angiography of portal system and collaterals in portal hypertension using a 2DFT fast spoiled gradient recalled steady-state precession technique.
http://www.med.umich.edu/rad/mribody/portal/references.html   (618 words)

  
 SSAT - 2001 Abstract: 481 Portal Vein Embolization vs. Portal Vein Ligation for Induction of Hypertrophy of the ...
It is very important that you consult a doctor about any specific medical problem or question.
Methods 36 patients with primary or secondary liver tumours and estimated remnant functional liver parenchyma of less than 0,5 % of body weight who underwent occlusion of the right portal branch to induce hypertrophy, were prospectively evaluated.
Objective To assess the efficiency of portal vein embolization (PVE) vs. portal vein ligation (PVL) to induce hypertrophy of the remnant liver before major hepatectomy.
http://www.ssat.com/cgi-bin/abstracts/01ddw/481.cgi?affiliation=   (348 words)

  
 Extrahepatic Portal Vein Aneurysms -- Blasbalg et al. 174 (3): 877 -- American Journal of Roentgenology
Congenital and Acquired Anomalies of the Portal Venous System
Portal vein aneurysm: a rare but important vascular condition.
number of portal vein aneurysms are detected in patients with
http://www.ajronline.org/cgi/content/full/174/3/877   (534 words)

  
 Hepatic vein - Virtual Hospital: Illustrated Encyclopedia of Human Anatomic
Netter Medical Artwork - Interdigation of Portal Triads With
Veno-occlusive lesions with intimal obliteration of hepatic veins and a lymphocytic phlebitis of hepatic veins may also be present.
MATERIALS AND METHODS: Portal/hepatic vein gradients before and after TIPS creation were studied in 28 patients who underwent TIPS creation.
http://cutesky.com/c/hepatic-vein.html   (241 words)

  
 PORTAL HYPERTENSION
alcoholic cirrhosis) to blood flow in the portal venous system.
Any increase in the portal vein (in the liver) pressure due to anatomic or functional obstruction (e.g.
The medical glossary has been made possible by a generous donation from:
http://www.medhelp.org/glossary/new/gls_3430.htm   (74 words)

  
 Organ: Portal vein - CureResearch.com
Diseases list: The following list of medical conditions have 'Portal vein' or similar listed as an affected body part in our database:
Use of this site is subject to our TERMS OF USE.
Portal vein: Large vein associated with the liver
http://www.cureresearch.com/organ/portal_vein.htm   (208 words)

  
 Clinical Trial: Portal Vein Embolization in Treating Patients With Liver Metastases From Primary Colorectal Cancer
Determine the biologic effects of this therapy on liver metastases and normal liver parenchyma in these patients.
Portal Vein Embolization in Treating Patients With Liver Metastases From Primary Colorectal Cancer
PURPOSE: Phase II trial to study the effectiveness of portal vein embolization in treating patients who have liver metastases from primary colorectal cancer.
http://clinicaltrials.gov/ct/show/NCT00028626?order=44   (342 words)

  
 Encyclopedia: Portal vein
Spontaneous bacterial peritonitis is a form of peritonitis that occurs in patients with cirrhosis.
The portal vein is a major vein in the human body draining blood from the digestive system and its associated glands.
Increased blood pressure in the portal vein, portal hypertension, occurs in liver disease (mainly cirrhosis), and may lead to various complications (ascites, esophageal varices, spontaneous bacterial peritonitis).
http://www.nationmaster.com/encyclopedia/Portal-vein   (693 words)

  
 Portal vein thrombosis in alcoholic liver disease - MedPix™ Medical Image Database and Teaching Files
Portal or mesenteric pyelophlebitis, associated with appendicitis or diverticulitis
Cirrhosis, with resultant portal hypertension and venous stasis, is the most common cause in the developed world.
Hepatofugal flow may be detected in the portal or splenic veins.
http://rad.usuhs.mil/medpix/radpix.html?mode=single&comebackto=mode=cat_browse&recnum=2718   (440 words)

  
 Vein - Wikipedia, the free encyclopedia
The precise location of veins is much more variable from person to person than that of arteries.
Catheters can be threaded into the superior vena cava for these uses: if long term use is thought to be needed, a more permanent access point can be inserted surgically.
Another special case is portal circulation where the portal vein transports blood rich in products of digestion from the intestines to the liver.
http://en.wikipedia.org/wiki/Vein   (278 words)

  
 Arch Surg -- Abstract: An Appraisal of Liver and Portal Vein Resection for Hepatocellular Carcinoma With Tumor Thrombi ...
97 patients did not need portal vein resection (group 2).
portal vein is justified in selected patients with hepatocellular
of tumor thrombi to the portal bifurcation (group 1).
http://archsurg.ama-assn.org/cgi/content/abstract/135/11/1273   (343 words)

  
 Biolchini F, et al. Significance and Rationale for Pancreatoduodenectomy with Portal/Mesenteric Vein Resection. JOP. J ...
The mortality of the patients with venous was 14% (1/7, CID) and the morbidity rate was 42% (1 subfrenic collection, 1 delayed gastrointestinal function recovery and 1 gastro-intestinal hemorrhage): no complication was correlated with the venous resection.
Aim The authors examine the rationale of pancreato-duodenectomny with portal/mesenteric vein resection by reviewing their experience.
Conclusions In our experience, pancreatoduodenectomy combined with portal/mesenteric vein resection should be performed every time the vein was not dissectable from the pancreas, but it has to be recommended only when a margin-negative resection is expected to be achieved.
http://www.joplink.net/prev/200409/86.html   (314 words)

  
 What are the complications associated with attaching the new liver to the portal vein and the vena cava?
any problems, or it may cause portal hypertension.
Blockage of the portal vein may cause the liver to fail, or it
Narronwing of the portal vein may not cause
http://www.transweb.org/old_transweb/asktw/answers/answers9701/96050102.html   (162 words)

  
 Hemodynamic significance of the paraumbilical vein in portal hypertension: assessment with duplex US -- Mostbeck et al. ...
Two of these patients had hepatofugal flow in
Hemodynamic evaluation of portal and umbilical venous flow with duplex
flow in the portal vein exceeded the hepatofugal flow through the umbilical
http://radiology.rsnajnls.org/cgi/content/abstract/170/2/339   (211 words)

  
 Portal vein thrombosis in patients receiving indinavir, an HIV protease inhibitor [letter]
Portal vein thrombosis in patients receiving indinavir, an HIV protease inhibitor [letter]
Keywords: *Hepatic Vein Thrombosis/CHEMICALLY INDUCED *HIV Infections/COMPLICATIONS *HIV Protease Inhibitors/ADVERSE EFFECTS *Indinavir/ADVERSE EFFECTS *Portal Vein/DRUG EFFECTS *Portal Vein/PATHOLOGY
http://www.aegis.com/aidsline/1998/apr/M9841590.html   (198 words)

  
 Ultrasound Education - Hepatocellular Carcinoma With Tumor Thrombus Involving Portal Vein
It is important to properly document invasion because the type of surgery and value of that surgery depend on knowing the extent of the tumor and the patency of the portal system.
Irregular anechoic structures, usually reduced in size, may be seen.
Figure 3: Liver shows nodulartity of the surface with a coarse echotexture and a widend portal vein, with absent flow on colour Doppler study, small vessels are noted on the power Doppler study within the thrombus in the portal vein.
http://www.gehealthcare.com/seen/rad/us/case_studies/hepato.html   (556 words)

  
 Virtual Hepatic/Portal Vein Models
These are some still images of the virtual hepatic and portal vein models that were part of my thesis research project: Creating Interactive 3D Models From Human Scan Data.
http://www.peterjurek.com/rbv_site/web_pages/vveins.html   (29 words)

  
 portal hypertension
loss of respiratory increase of splanchnic vein diameter (80% sensitivity, 100% specificity)
http://chorus.rad.mcw.edu/doc/00863.html   (20 words)

  
 University of Miami School of Medicine - Glossary - Portal vein
Portal vein: A large vein that carries blood from the stomach and the intestines to the liver.
University of Miami School of Medicine - Glossary - Portal vein
The portal vein is formed by the union of the splenic and superior mesenteric veins.
http://www.med.miami.edu/glossary/art.asp?articlekey=5004   (74 words)

  
 pylephlebitis - definition of pylephlebitis in the Medical dictionary - by the Free Online Medical Dictionary, ...
Inflammation of the portal vein or any of its branches.
http://medical-dictionary.thefreedictionary.com/pylephlebitis   (97 words)

  
 Portal Hypertension
This is one page of 1 in this chapter, 266 in this book, and 4645 in the Family Practice Notebook.
Free hepatic vein pressure - hepatic vein wedge
http://www.fpnotebook.com/GI12.htm   (118 words)

  
 portal vein - yourDictionary.com - American Heritage Dictionary
A vein that conducts blood from the digestive organs, spleen, pancreas, and gallbladder to the liver.
portal vein - yourDictionary.com - American Heritage Dictionary
http://www.yourdictionary.com/ahd/p/p0454000.html   (35 words)

  
 Portal Vein
Normal Main Portal Vein Size on Ultrasound as a Function of Age
Weinreb J, Kumari S, Phillips G, Pochaczevsky R. Portal vein measurements by real-time sonography.
http://www.ohsu.edu/radiology/teach/kojima/portal.htm   (34 words)

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