14. Extrahepatic Portal Vein Obstruction (EHPVO)

Non-Cirrhotic Portal Hypertension

  1. Roberto de Franchis MD, AGAF Professor of Gastroenterology Head
  1. Shiv Kumar Sarin MD, DM Director1,
  2. Ashish Kumar MD, DM Associate Professor Assistant Dean1,
  3. Yogesh Kumar Chawla MD, DM Professor Head2

Published Online: 17 NOV 2010

DOI: 10.1002/9781444393989.ch14

Book Title

Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition

Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition

Additional Information

How to Cite

Kumar Sarin, S., Kumar, A. and Chawla, Y. K. (2011) Extrahepatic Portal Vein Obstruction (EHPVO), in Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition (ed R. de Franchis), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444393989.ch14

Editor Information

  1. Department of Medical Sciences, University of Milan, and Gastroenterology 3 Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Mangiagalli and Regina Elena Foundation, Milan, Italy

Author Information

  1. 1

    Institute of Liver & Biliary Sciences (ILBS), New Delhi, India

  2. 2

    Department of Hepatology, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India

Publication History

  1. Published Online: 17 NOV 2010
  2. Published Print: 14 JAN 2011

ISBN Information

Print ISBN: 9781444334494

Online ISBN: 9781444393989

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CHAPTER TOOLS

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Keywords:

  • extrahepatic portal vein obstruction (EHPVO);
  • EHPVO, obstruction in trunk of portal vein - extending to the branches;
  • Asian Pacific Association for the Study of the Liver (APASL) - and the American Association for the Study of the Liver (AASLD);
  • Baveno V guidelines - diagnosis and management of condition;
  • Baveno IV, EHPVO as obstruction of extrahepatic portal vein - with or without intrahepatic involvement;
  • extent of portal venous system obstruction - speed of its development, heterogeneity of clinical presentation;
  • bleeding from oesophageal, gastric or ectopic varices and hypersplenism - common complications of chronic EHPVO;
  • interventional and minimally invasive techniques - treating portal vein and superior mesenteric vein thrombosis;
  • role of anticoagulant therapy - in chronic EHPVO, not very clear;
  • chronic EHPVO treatment in children - and mesenterico-left portal vein bypass (MLPVB)

Summary

This chapter contains sections titled:

  • Introduction

  • Definition

  • Aetiology

  • Clinical presentation

  • Diagnosis

  • Natural history

  • Classification

  • Treatment with anticoagulants

  • Treatment of bleeding

  • Treatment of chronic EHPVO in children

  • Portal biliopathy

  • References

  • Budd-Chiari syndrome (BCS – hepatic venous outflow tract obstruction (HVOTO))

  • Extrahepatic portal vein obstruction (EHPVO)

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