RT Book, Section
A1 Doherty, Gerard M.
SR Print(0)
ID 58098503
T1 Portal Hypertension
T2 Quick Answers Surgery
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 
LK accesssurgery.mhmedical.com/content.aspx?aid=58098503
RD 2024/04/25
AB •  Etiologies  include:  -Cirrhosis-Congenital  hepatic  fibrotic  disorders-Acute  liver  failure-Budd-Chiari  syndrome-Heart  failure-Congenital  atresia-Portal  or  splanchnic  vein  thrombosis•  Bleeding  gastroesophageal  varices  most  important  complication•  30%  bleed•  50%  mortality  for  those  who  bleed•  30%  re-bleed  in  6  weeks•  70%  re-bleed  in  1  year•  Bleeding  most  commonly  from  esophageal  varices•  10-15%  have  associated  gastric  varices•  Presence  of  varices  related  to  degree  of  liver  dysfunction•  Portal  vein-hepatic  vein  gradient  invariably  >  12  mm  Hg