TY  - CHAP
M1  - Book, Section
TI  - Chapter 47. Portal Hypertension
A1  - Henderson, J. Michael
A2  - Zinner, Michael J.
A2  - Ashley, Stanley W.
Y1  - 2013
N1  - 
T2  - Maingot's Abdominal Operations, 12e
AB  - Portal  hypertension  is  present  when  portal  venous  pressure  exceeds  10  mm  Hg.  This  chapter  addresses  the  causes,  evaluation,  and  treatment  options  for  patients  with  portal  hypertension.  While  the  emphasis  is  on  surgical  aspects,  this  group  of  patients  requires  a  multidisciplinary  approach  and  surgical  therapy  must  inevitably  be  viewed  in  this  context.  The  major  clinical  presentations  that  will  be  addressed  are  variceal  bleeding,  ascites,  end-stage  liver  disease,  and  the  pulmonary  syndromes.  Whatever  the  presentation  of  portal  hypertension,  be  it  an  incidental  finding  or  one  of  the  above  clinical  presentations,  it  demands  full  investigation.  In  the  United  States,  the  etiology  is  most  commonly  cirrhosis,  but  other  etiologies  such  as  prehepatic  portal  or  splenic  vein  thrombosis  or  other  intraparenchymal  liver  disease  such  as  schistosomiasis  or  hepatic  fibrosis  should  be  considered.  Definition  of  the  cause  is  important  as  prognosis  depends  on  the  underlying  liver  disease,  and  a  full  evaluation  to  allow  development  of  a  treatment  plan  for  variceal  bleeding,  ascites,  or  end-stage  liver  disease  is  paramount  at  initial  presentation.  The  focus  of  this  chapter  is  on  emphasizing  the  role  of  a  multidisciplinary  team  approach  to  managing  patients  with  portal  hypertension.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/17
UR  - accesssurgery.mhmedical.com/content.aspx?aid=57017861
ER  -