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TitlePortal Hypertension [electronic resource] : Diagnostic Imaging and Imaging-Guided Therapy / edited by P. Rossi, P. Ricci, L. Broglia
ImprintBerlin, Heidelberg : Springer Berlin Heidelberg : Imprint: Springer, 2000
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Descript X, 342 p. online resource


Portal hypertension has traditionally attracted great interest from physicians, surgeons, and radiologists owing to the accompanying high risk of gastrointestinal hemorrhage. Against this background the current volume, written by internationally recognized experts, sets out to provide a comprehensive coverage of the diagnosis and treatment of portal hypertension. An extensive description of the vascular anatomy of the portal system is given, and the pathophysiology and clinical characteristics of the disorder are reviewed. Both conventional and newer diagnostic techniques are then discussed and illustrated, particular attention being paid to techniques such as color Doppler and magnetic resonance that can simultaneously provide morphological and functional information. Medical, endoscopic, surgical, and radiological treatments are all considered, with special emphasis on the use of transjugular intrahepatic porto-systemic shunt (TIPS). Possible complications of treatment receive due attention, and avenues for future research are outlined. This volume will serve as an invaluable source of up-to-date information for all with an interest in the subject, and will provide a sound basis for therapeutic decision making


Pathophysiology of Portal Hypertension -- The Clinical Course of Portal Hypertension in Liver Cirrhosis -- Historical Review of Initial Experience in the Imaging and Pathophysiological Evaluation of Portal Hypertension -- Angiography and Radiological Anatomy of the Portal System -- Surgical Anatomy of the Portal System -- Doppler Ultrasound in Portal Hypertension -- Color Doppler of Portal Hypertension: A Pictorial Essay -- Computed Tomography in Portal Hypertension -- Value of Multi-Detector Array CT in the Assessment of Portal Hypertension -- Magnetic Resonance Imaging of the Portal System -- MR Quantification of Portal Venous Flow -- Portal Pressure Measurement -- Medical Therapy of Portal Hypertension -- Endoscopic Treatment -- Surgical Therapy of Portal Hypertension: Porta- and Meso-caval Shunts -- The Distal Splenorenal Shunt -- Transmesenteric Method of Intrahepatic Portosystemie Shunt Placement: tm TIPS -- TIPS: Historical Background and Technique -- TIPS: Complications -- Transjugular Intrahepatic Shunt Stenosis and Thrombosis: Shunt Biology and Stent -Grafts -- TIPS: Portal Thrombosis -- TIPS in Egyptian Hepatic Schistosomiasis -- Histologic Findings in Transjugular Intrahepatie Portosystemic Shunts Stenosis -- TIPS Follow-up: Color Doppler -- Long-Term Outcome of TIPS -- TIPS: Refractory Ascites and Encephalopathy -- TIPS: Covered Stents and Long-Term Results -- TIPS: Percutaneous Retroperitoneal Spie no renal Shunt (PRESS) -- Meta-Analysis of Randomized Controlled Trials of Transjugular Intrahepatie Portosystemic Shunt for the Prevention of Rebleeding in Patients with Cirrhosis -- List of Contributors

Medicine Radiology Internal medicine Gastroenterology Medicine & Public Health Imaging / Radiology Gastroenterology Internal Medicine


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