PORTAL HİPERTANSİYON (1) 180 Portal Hipertansiyon Vakasının Etyolojik Sınıflandırılması ve Splenoportografik Muayene Sonuçlarının Analizi
Abstract
The aim of this study is to make etiological classification and analyze splenoportographic findings of 180 portal hypertension (PH) cases evaluated in Ankara University Medical Faculty Gastroenterology Clinic between 1960-1970
PH diagnosis was made based on radiological and endoscopic detection of esophageal varices, intrasplenic pressure measurements and demonstration of collateral circulation by percutaneous splenoportography. Liver biopsy (needle or surgical) was performed for all patients and histopathological examination was performed
The majority of the 180 cases (140 cases) were due to intrahepatic causes such as postnecrotic and portal cirrhosis. Extrahepatic causes such as Budd-Chiari syndrome and portal vein thrombosis were seen less frequently. Idiopathic PH was diagnosed in 10 cases. Typical splenoportographic findings in cirrhotic cases; The findings are dilatation of the portal and splenic veins, narrowing of the portal angle, and liver vascularization with a “winter tree” appearance. In cases where the portal vein is not sufficiently filled due to excessive collateral circulation, image quality is improved with the Sengstaken-Blakemore tube placed in the esophagus.
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References
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