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Hipertensi portal pdf online

Hipertensi Portal Vena porta membawa darah ke hati dari lambung, usus, limpa, pankreas dan kandung empedu. Vena mesenterika superior dibentuk dari vena-vena yang berasal dari usus halus, kaput pankreas, kolon bagian kiri, rektum dan lambung. Pelayanan Hipertensi Portal 1 - Download as Word Doc (.doc /.docx), PDF File (.pdf), Text File (.txt) or read online.

[] Portal hypertensive gastropathy refers to changes in the of the in patients with; by far the most common cause of this is of the. These changes in the mucosa include of the mucosa and the presence of blood vessels at the surface. Patients with portal hypertensive gastropathy may experience bleeding from the, which may uncommonly manifest itself in or; however, portal hypertension may cause several other more common sources of upper gastrointestinal bleeding, such as. On endoscopic evaluation of the stomach, this condition shows a characteristic mosaic or 'snake-skin' appearance to the mucosa of the stomach. Contents • • • • • • • Signs and symptoms [ ] Most patients with portal hypertensive gastropathy have either a stable or improving course in the appearance of the gastropathy on. However, according to retrospective data, roughly one in seven patients with portal hypertensive gastropathy will develop bleeding (either acute or chronic) attributable to the gastropathy. Patients with chronic bleeding will usually come to the attention of the medical system because of.

The diagnosis of portal hypertensive gastropathy is usually made on endoscopy. The usual appearance of portal hypertensive gastropathy on endoscopy is a mosaic-like or reticular pattern in the mucosa. Red spots may or may not be present. The pattern is usually seen throughout the stomach. A similar pattern can be seen with a related condition called (GAVE), or stomach.

However, in GAVE, the ectatic blood vessels are more commonly found in the or lower part of the stomach. Pathogenesis [ ] Several studies have found that patients with portal hypertension develop increased blood flow to the stomach. The physiological findings that correlate with worsening portal hypertensive gastropathy include an increased portal venous pressure gradient and decreased hepatic blood flow. Of the stomach in patients with portal hypertensive gastropathy show ectatic (or dilated) blood vessels, evidence of bleeding by means of red blood cells in the, and in the stomach wall. Treatment [ ].

Hipertensi Portal Pdf

Argon plasma coagulation, seen here to treat, has also been used to treat bleeding from portal hypertensive gastropathy Medications [ ] Several treatment options have been developed for portal hypertensive gastropathy. The first is the use of, which reduce portal pressures. Non-selective beta blockers (such as and ) have been used to decrease the pressure of the portal vein in patients with, and have been shown to regress portal hypertensive gastropathy that has been worsened by medical treatment of varices. Has also been evaluated in patients with chronic cirrhosis and portal hypertensive gastropathy.

Other medications that primarily treat bleeding, including anti-fibrinolytic medications such as have also been used in case reports of patients with portal hypertensive gastropathy. These medications work by stabilizing deposits of at sites that ordinarily would bleed. Finally,, an analogue of that leads to vasoconstriction of the portal circulation, can be used for active bleeding due to portal hypertensive gastropathy., a coating medication has also been used, but evidence is from animal models.

Procedural [ ] Portal hypertensive gastropathy can also be treated with endoscopic treatment delivered through a fibre-optic camera into the stomach. And electrocautery have both been used to stop bleeding from ectatic vessels, and to attempt to obliterate the vessels, but have limited utility if the disease is diffuse. Procedures, or TIPS involve decompressing the portal vein by shunting a portal venule to a lower pressure systemic venule, under guidance with. Emc irm client for adobe acrobat.

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