Idiopathic non-cirrhotic portal hypertension and Budd — Chiari syndrome: focus on the problem
Journal Title: Сучасна гастроентерологія - Year 2019, Vol 0, Issue 1
Abstract
The idiopathic non-cytolytic portal hypertension and Budd — Chiari syndrome refer to orphan diseases, however last time the incidence of these liver diseases is being increased recently, especially among young people. The paper presents analysis of the etiological factors, peculiarities of the clinical picture and methods of correction of portal hypertension developing in patients with idiopathic portal hypertension and Budd — Chiari syndrome. The lack of a golden standard of diagnosis, histologic pronounced changes, and the presence of small deviations in laboratory parameters complicate their diagnosis in the early period. Timely diagnosis and the appointment of appropriate treatment contribute to reducing the mortality rate from bleeding from varicose veins and hepatic insufficiency. For the prevention of bleeding from varicose veins transjugular intrahepatic portosystemic shunt (TIPS) is increasingly used, it is recommended for patients who did not respond to the endoscopic treatment. The presence of history of bleeding episode is an absolute indication of the surgical decompression of the portal system. Despite the high efficiency of non-invasive techniques, the creation of a portosystemic shunt may be complicated by its dysfunction and can be detected by stenosis or thrombosis, therefore, after conducting TIPS, it is recommended to provide control tests using duplex ultrasound examination.
Authors and Affiliations
А. V. Antonenko, T. V. Beregova
Keywords
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- EP ID EP508589
- DOI 10.30978/MG-2019-1-119
- Views 120
- Downloads 0
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