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Endoscopic Ultrasound-Guided Portal Pressure Measurement and Interventions

Samarasena JB, Chang KJ

A growing number of studies have explored endoscopic ultrasound (EUS)-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, EUS-guided transhepatic...
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Idiosyncratic Portal Collateral Circulation during Hepatic Inflow Occlusion

Nam SY, Kim YI, Hwang YJ

  • KMID: 2244252
  • Korean J Hepatobiliary Pancreat Surg.
  • 2004 Dec;8(4):225-230.
PURPOSE: Acute ligation of the portal vein in animals results in the pooling of blood in the splanchnic bed, and this is followed by rapid cardiovascular collapse and death. However,...
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Splenoportography in portal hypertension

Lee SW, Kim HS, Park CI

Splenoportography has been proved a useful method for the evaluation of circulatory disturbances in portalhypertension. Author analyzed the various aspect of these disturbances as judged by changes in collateralcirculations and...
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Portosystemic collateral pathways and interventions in portal hypertension

Bandali MF, Mirakhur A

Pathologic increase in portal pressure can be caused by increased resistance to blood flow at the level of the portal vein (pre-hepatic), hepatic sinusoids (hepatic) or hepatovenous outflow (post-hepatic). This...
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Update on the treatment of portal hypertension

Choe WH

  • KMID: 2258429
  • Korean J Med.
  • 2009 Sep;77(3):282-289.
Portal hypertension is responsible for most of the complications associated with liver cirrhosis, including variceal hemorrhage, ascites, and hepatic encephalopathy. It has become clear that a decrease in portal pressure...
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Ultrasonography for Noninvasive Assessment of Portal Hypertension

Maruyama H, Yokosuka O

Portal hypertension is a major pathophysiology in patients with cirrhosis. Portal pressure is the gold standard to evaluate the severity of portal hypertension, and radiological intervention is the only procedure...
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Hepatic venous pressure gradient: clinical use in chronic liver disease

Suk KT

Portal hypertension is a severe consequence of chronic liver diseases and is responsible for the main clinical complications of liver cirrhosis. Hepatic venous pressure gradient (HVPG) measurement is the best...
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Effects of Nitric Oxide Inhibitor on Hyperdynamic Circulation in a Portal Vein-Stenosed Rat Model

Jang BI, Kim TN, Chung MK

  • KMID: 2304627
  • Korean J Gastroenterol.
  • 2000 Jan;35(1):54-63.
BACKGROUND/AIMS: The present study investigated effects of nitric oxide on hyperdynamic circulation associated with peripheral vasodilation in partial portal vein ligated rat. METHODS: Portal hypertensive rats were divided into 3 groups. Group 1...
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An analysis of splenoportographic findings in portal hypertension

Jung EM, Moon SR, Kim HS, Park SS

Splenoportography has been proved as a useful method for the evaluation of circulatory distrubances in portalhypertension. Authors analyzed the various aspects of these disturbances on splenoportography in 22 cases thatwere...
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Effect of Propranolol on Portal Pressure and Systemic Hemodynamics in Patients with Liver Cirrhosis and Portal Hypertension: A Prospective Study

Suk KT, Kim MY, Park DH, Kim KH, Jo KW, Hong JH, Kim JW, Kim HS, Kwon SO, Baik SK

  • KMID: 2167170
  • Gut Liver.
  • 2007 Dec;1(2):159-164.
BACKGROUND/AIMS: Propranolol can prevent variceal bleeding by ameliorating portal hypertension. We conducted this study to determine the effect of propranolol on portal hypertension and the optimal required dose in Korean...
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Hemodynamic Properties of Portal Hypertansion in a Portal Vein Stenotic Rat Model

Kim TN, Suh JI, Jang BI, Chung MK, Lee HW

  • KMID: 2080540
  • Korean J Med.
  • 1997 Jul;53(1):18-25.
OBJECTIVES: Hemodynamic measurements of chronic portal hypertension were done to study the mechanisms that maintain high portal pressure despite well developed collateral circulations. METHODS: A prehepatic portal hypertensive rat model was...
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Effect of Propranolol on Portal Vein Pressure in Patients with Chronic Liver Disease: Evaluation by Perrectal Portal Scintigraphy

Rho YH, Han S, Kim HS, Yoon SJ, Kim YK, Kim SY, Kim YJ, Cho MK, Park BY, Lee GJ

  • KMID: 2256944
  • Korean J Nucl Med.
  • 1999 Aug;33(4):388-397.
PURPOSE: Propranolol is known to decrease portal pressure by reducing blood flow of portal vein. Per-rectal portal scintigraphy with Tc-99m pertechnetate has been introduced to evaluate the portal circulation and...
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Serial Monitoring of Portal Venous Pressure/Flow during Living Donor Liver Transplantation

Bae BK, Kim BW, Xu W, Wang HJ, Kim MW

  • KMID: 1920803
  • Korean J Hepatobiliary Pancreat Surg.
  • 2010 Mar;14(1):10-15.
PURPOSE: Although living donor liver transplantations (LDLTs) are widely performed, a shortage of living donors exists continuously, which makes it difficult to find the optimal graft. A high portal venous...
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Prevention and management of gastroesophageal varices

Jang JY

  • KMID: 2256157
  • Korean J Med.
  • 2008 Jul;75(1):6-14.
Gastroesophageal varices are the most common lethal complication of cirrhosis that result most directly from portal hypertension. Patients with cirrhosis and gastroesophageal varices have an hepatic venous pressure gradient (HVPG)...
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The Effect of Temporary Portocaval Shunt in Liver Resection Under Portal Triad Clamping

Ra HD, Kim YI, Hwang YJ, Yun YK

  • KMID: 2244382
  • Korean J Hepatobiliary Pancreat Surg.
  • 2000 Feb;4(1):13-20.
BACKGROUND: Hepatectomy under prolonged inflow occlusion in compromised liver is an acceptable procedure, despites of ischemic liver injury. However, the effect of abdominal visceral stagnation during the occlusion periods was...
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The Impact of Concomitant Splenectomy on the Portal Pressure in Patients with Liver Cirrhosis

Nam KH, Hwang YJ, Cheon JM, Kim SG, Yeun YG

  • KMID: 2244177
  • Korean J Hepatobiliary Pancreat Surg.
  • 2008 Sep;12(3):156-161.
PURPOSE: Concomitant splenectomy in cirrhotic patients is known to ameliorate the tendency to bleed and it decreases the portal venous pressure (PVP). However, the direct measurement of the change in...
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The Effects of Nitric Oxide Inhibitor on Hyperdynamic Circulation in Portal Hypertensive Rats

Kim PY, Jang BI, Kim TN, Chung MK

  • KMID: 2320274
  • Yeungnam Univ J Med.
  • 1999 Dec;16(2):181-192.
BACKGROUND: Nitric oxide, a vasodilator synthesized from L-arginine by vascular endothelial cells. accounts for the biological activity of endothelium derived relaxing factor. Previous studies demonstrated that nitric oxide inhibitor. N'-Nitro-L-Arginine(NNA)diminished...
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Non-cirrhotic portal hypertension in an ankylosing spondylitis patient

Park S, Lee JH, Choi JS, Kim HW, Shim BJ, Choi WK, Kim SH

Idiopathic non-cirrhotic portal hypertension (INCPH) is a disease with an uncertain etiology consisting of non-cirrhotic portal hypertension and portal pressure increase in the absence of liver cirrhosis. In INCPH, patients...
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Post-TIPS Change of Esophagogastric Variceal Size on Endoscopy

Kim YJ, Shin HW, Park AH, Kang DS

PURPOSE: To evaluate the relationship between endoscopic change in esophagogastric varices and post transjugular intrahepatic portosystemic shunt (TIPS) portal pressure reduction, and to study any difference in post-TIPS endoscopic change...
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Transjugular intrahepatic portsystemic shunt

Park JH, Han JK, Chung JW, Han MC

  • KMID: 2416554
  • J Korean Radiol Soc.
  • 1992 Jun;28(3):393-398.
As a new interventional procedure for the control of variceal bleeding, a portosystemic shunt can be established with the installment of metallic stent through the transjugular approach. In order to...
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