Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein thrombosis (PVT). Recurrent duodenal variceal bleeding in non-cirrhotic patients with diffuse po...

Small intestinal bleeding in Crohn's disease patients with noncirrhotic portal hypertension and partial portal and superior mesenteric vein thrombosis is a life-threatening event. Here, a case is reported in which treatment with azathioprine may have resulted in nodular regenerative hyperplasia, portal hypertension and portal vein thrombosis. The 56-year-old patient with Crohn's disease develop...

A non cirrhotic patient with esophageal varices and portal vein thrombosis had recurrent variceal bleeding unsuccessfully controlled by endoscopy and esophageal transection. Emergency transhepatic portography confirmed the thrombosed right branch of the portal vein, while the left branch appeared angulated, shifted and stenotic. A stent was successfully implanted into the left branch and the co...

S43 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Asian EUS Cup-04 Endoscopic ultrasound-guided continuous catheter thrombolysis of portal venous system Malay Sharma, Piyush Somani, Saurabh Jindal Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India Background: Acute portal vein thrombosis is an uncommon and insidious disease that is potentially lethal due to delay in d...

S43 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Asian EUS Cup-04 Endoscopic ultrasound-guided continuous catheter thrombolysis of portal venous system Malay Sharma, Piyush Somani, Saurabh Jindal Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India Background: Acute portal vein thrombosis is an uncommon and insidious disease that is potentially lethal due to delay in d...

Pathophysiology Portal vein obstruction can result from one or several of the following 3 mechanisms: thrombosis, invasion by a malignant tumor (mainly hepatocellular carcinoma) and constriction within a malignant tumor (adenocarcinoma of the pancreas or bile ducts). Compression in the absence of thrombosis, invasion or constriction does not produce portal vein obstruction. Usually, the vein pa...

Thrombosis of the portal vein with or without patency of its tributaries used to be a contraindication to orthotopic liver transplantation (OLTX) until quite recently. Rapid progress in the surgical technique of OLTX in the last few years has demonstrated that most patients with portal vein thrombosis can be safely and successfully transplanted. Presented here is a series of 34 patients with po...

POSTTRAUMATIC LEFT-SIDED PORTAL HYPERTENSION MANIFESTED WITH BLEEDING FUNDAL VARICES (Abstract): Splenic vein obstruction (usually due to thrombosis) induces left-sided portal hypertension and isolated fundal varices in patients with unaffected liver parenchyma and permeable portal vein. Pancreatic etiology is among the most frequent for splenic vein thrombosis. Hemorrhage from isolated fundal ...

Purpose. We report a novel technique which aided recanalization of an occluded portal vein for transjugular intrahepatic portosystemic shunt (TIPS) creation in a patient with symptomatic portal vein thrombosis with cavernous transformation. Some have previously considered cavernous transformation a contraindication to TIPS. Case Presentation. 62-year-old man with chronic pancreatitis, portal ve...

S43 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Asian EUS Cup-04 Endoscopic ultrasound-guided continuous catheter thrombolysis of portal venous system Malay Sharma, Piyush Somani, Saurabh Jindal Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India Background: Acute portal vein thrombosis is an uncommon and insidious disease that is potentially lethal due to delay in d...