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  • systemic
  • We present a patient with known history of systemic mastocytosis with bone marrow involvement presenting with new-onset esophageal variceal bleeding. (gi.org)
  • Transjugular intrahepatic portosystemic shunt procedures, or TIPS involve decompressing the portal vein by shunting a portal venule to a lower pressure systemic venule, under guidance with fluoroscopy. (wikipedia.org)
  • liver
  • Initial laboratory data was notable for hemoglobin 6.8 mg/dL, albumin 2.9 g/dL, platelets 76 x 10 3 /µL, creatinine 0.4 mg/dL, international normalized ratio 1.22, and an unremarkable liver panel aside from a chronically elevated alkaline phosphatase 249 U/L. The patient was started on intravenous pantoprazole and famotidine twice daily. (gi.org)
  • No liver biopsy was performed as the patient was already on prednisone for treatment of mastocytosis and was high risk for bleeding given worsening thrombocytopenia. (gi.org)
  • There is no consensus about the optimal treatment of hepatocellular carcinoma (HCC) with cirrhotic portal hypertension, While this group of patients are classified as hepatectomy contraindication according to guidelines from National Comprehensive Cancer Network (NCCN) and American Association for the Study of Liver Diseases (AASLD). (clinicaltrials.gov)
  • seen
  • Mild sclerosis of some small portal triads was the only abnormality seen at light microscopical examination in three of the four cases. (bmj.com)
  • treatment
  • The investigators project is a prospective randomized controlled trial, planning to compare the safety, efficacy and quality of life between precise hepatectomy and combined interventional treatment on hepatocellular carcinoma (HCC) with cirrhotic portal hypertension, to make a further understanding of optimal strategy. (clinicaltrials.gov)
  • ascites
  • citation needed] Signs and symptoms of portal hypertension include: Ascites (free fluid in the peritoneal cavity),Abdominal pain or tenderness (when bacteria infect the ascites, as in Spontaneous bacterial peritonitis). (wikipedia.org)
  • Volume resuscitation can also worsen ascites and increase portal pressure. (wikipedia.org)
  • splenomegaly
  • Signs of portal hypertension on ultrasound include dilatation of the portal vein of over 13 mm in diameter, a portal flow mean velocity of less than 12 cm/s on Doppler ultrasound, porto-systemic collateral veins (patent paraumbilical vein, spleno-renal collaterals and dilated left and short gastric veins), splenomegaly and signs of cirrhosis (including nodularity of the liver surface). (wikipedia.org)
  • Gandy-Gamna nodules or Gandy-Gamna bodies, sometimes known as Gamna-Gandy bodies or Gamna-Gandy nodules, are small yellow-brown, brown, or rust-colored foci found in the spleen in patients with splenomegaly due to portal hypertension, as well as sickle cell disease. (wikipedia.org)
  • predicts
  • Poor regenerative response to PVE predicts poor compensatory regeneration following liver resection and can help identify patients unsuitable for resection. (wikipedia.org)
  • systemic
  • when the pressure in the portal venous system increases above that of the systemic, blood is shunted through the portosystemic anastomoses. (wikipedia.org)
  • Research in 2010 has shown that anti-RNA polymerase III antibodies may be used as a risk marker for GAVE in systemic sclerosis patients. (wikipedia.org)
  • TIPS: Placement of a Transjugular Intrahepatic Porto-systemic Shunt (TIPS) for select indications in patients with critical end-stage liver disease and portal hypertension. (wikipedia.org)
  • complication
  • Complication rates from the procedure are low as well (2 - 3 percent) and include portal vein thrombosis, liver infarction, necrosis, infection, pneumothorax, and other risks as listed above. (wikipedia.org)
  • inferior
  • More than two-thirds of fetal hepatic circulation is via the main portal vein, while the remainder is shunted from the left portal vein via the ductus venosus to the inferior vena cava, eventually being delivered to the fetal right atrium. (wikipedia.org)
  • In an H-shunt, which could be mesocaval (from the superior mesenteric vein to the inferior vena cava) or could be, portocaval (from the portal vein to the inferior vena cava) a graft, either synthetic or the preferred vein harvested from somewhere else on the patient's body, is connected between the superior mesenteric vein and the inferior vena cava. (wikipedia.org)
  • Normal portal pressure is approximately 9 mmHg compared to an inferior vena cava pressure of 2-6 mmHg. (wikipedia.org)
  • anastomosis
  • Furthermore, the thoracoepigastric vein is connected to the portal vein via the paraumbilical vein and thereby serves as a portocaval anastomosis as well. (wikipedia.org)
  • In the course of the round ligament of liver, small veins (paraumbilical) are found which establish an anastomosis between the veins of the anterior abdominal wall and the hepatic portal, hypogastric, and iliac veins. (wikipedia.org)
  • Interventional
  • Portal vein embolization (PVE) is a preoperative procedure performed in interventional radiology to initiate hypertrophy of the anticipated future liver remnant a couple weeks prior to a major liver resection procedure. (wikipedia.org)
  • Although the range of procedures performed by interventional radiologists is broad, the unifying concept behind these procedures is the application of image guidance and minimally invasive techniques in order to minimize risk to the patient. (wikipedia.org)
  • While many countries have an interventional radiology society, there is also the European-wide Cardiovascular and Interventional Radiological Society of Europe, whose aim is to support teaching, science, research and clinical practice in the field by hosting meetings, educational workshops and promoting patient safety initiatives. (wikipedia.org)
  • evaluation
  • Patients with refractory pulmonary hypertension should be referred to these research centers for enrolment into any ongoing drug trials as well as for evaluation for heart-lung, single lung, or double lung transplantation. (biomedsearch.com)
  • Allow outpatient evaluation and follow-up of patients with a variety of gastrointestinal diseases for the purposes of physician education in the NIDDK accredited gastroenterology training program. (clinicaltrials.gov)
  • left portal vein
  • The best marked of these small veins is one which commences at the umbilicus and runs backward and upward in, or on the surface of, the round ligament (ligamentum teres) between the layers of the falciform ligament to end in the left portal vein. (wikipedia.org)
  • systemic
  • We present a patient with known history of systemic mastocytosis with bone marrow involvement presenting with new-onset esophageal variceal bleeding. (gi.org)
  • Transjugular intrahepatic portosystemic shunt procedures, or TIPS involve decompressing the portal vein by shunting a portal venule to a lower pressure systemic venule, under guidance with fluoroscopy. (wikipedia.org)
  • liver
  • Initial laboratory data was notable for hemoglobin 6.8 mg/dL, albumin 2.9 g/dL, platelets 76 x 10 3 /µL, creatinine 0.4 mg/dL, international normalized ratio 1.22, and an unremarkable liver panel aside from a chronically elevated alkaline phosphatase 249 U/L. The patient was started on intravenous pantoprazole and famotidine twice daily. (gi.org)
  • No liver biopsy was performed as the patient was already on prednisone for treatment of mastocytosis and was high risk for bleeding given worsening thrombocytopenia. (gi.org)
  • There is no consensus about the optimal treatment of hepatocellular carcinoma (HCC) with cirrhotic portal hypertension, While this group of patients are classified as hepatectomy contraindication according to guidelines from National Comprehensive Cancer Network (NCCN) and American Association for the Study of Liver Diseases (AASLD). (clinicaltrials.gov)
  • seen
  • Mild sclerosis of some small portal triads was the only abnormality seen at light microscopical examination in three of the four cases. (bmj.com)
  • treatment
  • The investigators project is a prospective randomized controlled trial, planning to compare the safety, efficacy and quality of life between precise hepatectomy and combined interventional treatment on hepatocellular carcinoma (HCC) with cirrhotic portal hypertension, to make a further understanding of optimal strategy. (clinicaltrials.gov)
  • pediatric
  • Target populations include adult and pediatric patients with neurological injury or disease ( traumatic brain injury and stroke ) as well as other medical conditions in which comprehensive assessment of cognitive strengths and deficits are required (e.g. cancer, dementia, MS, etc. (ghs.org)
  • pancreatic
  • Pancreatic Surgery is also carried out in great numbers and we have conducted one of the Largest Series of Pancreaticoduodenectomy operation for cancers of the Periampullary region.The unit has treated patients from all over India as well as patients from Middle East, Africa and South East Asia.Apart from malignancies this unit has considerable skills in dealing with surgical management of all aspects of Pancreatitis. (wikipedia.org)
  • respiratory
  • Conventional chest physiotherapy includes respiratory exercises and early mobilization of the patient. (scielo.br)
  • The hospital stay was 9.3 days for the control group and 7.3 days for the BIPAP group ( P =0.182).We do not have data regarding respiratory function after ICU discharge, but the evolution of the patients during its post-operative period in the ward was uneventful. (scielo.br)
  • clinical
  • The sponsor designs the trial in coordination with a panel of expert clinical investigators, including what alternative or existing treatments to compare to the new drug and what type(s) of patients might benefit. (wikipedia.org)
  • The advisory recommended caution in using these agents in cancer patients receiving chemotherapy or off chemotherapy, and indicated a lack of clinical evidence to support improvements in quality of life or transfusion requirements in these settings. (wikipedia.org)
  • According to the 2010 update to clinical practice guidelines from the American Society of Clinical Oncology (ASCO) and the American Society of Hematology (ASH), use of ESAs such as darbepoetin alfa in cancer patients is appropriate when following stipulations outlined in FDA-approved labeling. (wikipedia.org)
  • disease
  • This phase II trial studies how well tacrolimus and mycophenolate mofetil works in preventing graft-versus-host disease in patients who have undergone total-body irradiation (TBI) with or without fludarabine phosphate followed by donor peripheral blood stem cell transplant for hematologic cancer. (clinicaltrials.gov)
  • I. To estimate the incidence of grade III/IV graft-versus-host disease (GVHD) after conditioning with 200 centigray (cGy) TBI alone or Fludarabine (fludarabine phosphate)/200 cGy TBI followed by tacrolimus (Tac)/mycophenolate mofetil (MMF) immunosuppression in patients with hematologic malignancies. (clinicaltrials.gov)
  • Gandy-Gamna nodules or Gandy-Gamna bodies, sometimes known as Gamna-Gandy bodies or Gamna-Gandy nodules, are small yellow-brown, brown, or rust-colored foci found in the spleen in patients with splenomegaly due to portal hypertension, as well as sickle cell disease. (wikipedia.org)
  • medical
  • Patients: We retrospectively studied 6 patients with rectal carcinoid tumors ≤ 10 mm treated by endoscopic mucosal resection after circumferential mucosal incision, between August 2010 and December 2012 at Shiga University of Medical Science. (omicsonline.org)
  • The Web site for Thomas Jefferson University Hospitals, its contents and programs, is provided for informational and educational purposes only and is not intended as medical advice nor, is it intended to create any physician-patient relationship. (jefferson.edu)
  • group
  • Only one patient in the conventional physiotherapy group (control group) had a minor stroke. (scielo.br)
  • positive
  • The technique, tested in five patients of CHS, had positive results, expanding the range of dressing change which reduces the patient's suffering and costs in hospital care. (wikipedia.org)
  • technique
  • PEEP-ZEEP technique: cardiorespiratory repercussions in mechanically ventilated patients submitted to a coronary artery bypass graft surgery. (scielo.br)
  • Case
  • 28 Case series have reported that 5в12 Spironolactoe patients with RVO are under age 45.Spironollactone, M. 1 1.Mesia, K. Yokoyama) indigenous to Japan. (luxbar-starway.ru)