Challenges and strategies in the management of portal vein thrombosis

Authors

DOI:

https://doi.org/10.59093/27112330.126

Keywords:

portal vein thrombosis, hepatic cirrhosis, advanced liver disease.

Abstract

Portal vein thrombosis (PVT) in patients with or without hepatic cirrhosis (CH) is defined as an obstruction of the portal vein due to the formation of a thrombus that may extend to the superior mesenteric and splenic veins. This is a common complication of advanced liver disease. It was believed that PVT predominantly occurred due to the prothrombotic potential of the patient with CH, as a higher incidence of PVT was observed in CH with higher MELD and Child-Pugh scores, with a reported prevalence of 10% to 25%.

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Author Biography

Juan Carlos Restrepo-Gutiérrez, Universidad de Antioquia, Hospital Pablo Tobón Uribe

Médico, Especialista en Medicina Interna, Especialista en Hepatología Clínica, MSc, PhD. Profesor Titular, Facultad de Medicina, Universidad de Antioquia. Jefe Sección Gastrohepatología, Coordinador Especialización en Hepatología Clínica, Grupo Gastrohepatología, Universidad de Antioquia. Coordinador Unidad de Hepatología y Programa de Trasplante de Hígado, Hospital Pablo Tobón Uribe, Universidad de Antioquia. Medellín, Colombia.

References

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Prakash S, Bies J, Hassan M, Mares A, Didia SC. Portal vein thrombosis in cirrhosis: A literature review. Front Med 2023;10:1134801. https://doi.org/10.3389/fmed.2023.1134801.

Lisman T. Treatment of portal vein thrombosis in cirrhosis with anticoagulation—More than meets the eye? Hepatobiliary Surg Nutr 2024;13:321-324. https://doi.org/10.21037/hbsn-23-669.

Mancuso A. Controversies in the management of portal vein thrombosis in liver cirrhosis. J Clin Med 2020;9:3916. https://doi.org/10.3390/jcm9123916.

Willington AJ, Tripathi D. Current concepts in the management of non-cirrhotic non-malignant portal vein thrombosis. World J Hepatol 2024;16:751-765. https://doi.org/10.4254/wjh.v16.i5.751.

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Published

2024-09-03

How to Cite

Restrepo-Gutiérrez, J. C. (2024). Challenges and strategies in the management of portal vein thrombosis. Hepatología, 5(3), 183–184. https://doi.org/10.59093/27112330.126

Issue

Vol. 5 No. 3 (2024): September-December

Section

Editorial

License

Copyright (c) 2024 The authors retain all copyright and grant the Colombian Association of Hepatology a non-exclusive right to publish and disseminate their work.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Hepatología’s authorship policy is based on the criteria established by the International Committee of Medical Journal Editors (ICMJE) to credit a person for their work while assigning them responsibility for its publication.

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