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Portal Hypertension

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Saeed Al-Shomimi
Saeed Al-Shomimi
Salud y medicina
1 de 70
Dr Saeed Al-Shomimi KFHU Khobar
Anatomy ,[object Object],[object Object],[object Object],[object Object]
Blood Supply of the Liver Hepatic Arterial Autoregularity Vasodilatation
Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Causes of Portal Hypertension Pre-sinusoidal Sinusoidal Post Sinusoidal BLOOD FLOW LIVER
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Variceal Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Variceal Bleeding
Initial evaluation & stabilization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacologic Radiologic shunt TIPSS Surgical Shunt Balloon Tamponade Pharmacologic and endoscopic therapy are the usual 1 st and 2 nd interventions Endoscopic Treatment for Acute Variceal Bleeding
Pharmacologic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
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Endoscopic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
sclerotherapy ,[object Object],[object Object],[object Object],[object Object]
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[object Object],[object Object],[object Object],[object Object],Band Ligation
Pharmacologic versus Endoscopic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Balloon Temponade ,[object Object],[object Object],[object Object],[object Object]
Balloon positioning
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tube Positioning and Gastric Balloon Inflation
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gastric and Esophageal Balloon Inflation
[object Object],[object Object],[object Object],[object Object]
TIPS (Transjagular Intrahepatic Portosystemic Shunting) ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
 
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Surgical Therapy ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Prevention of Recurrent Variceal Bleeding
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Portosystemic Shunt ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
1 – Non selective Shunts ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
2 – Selective Shunts ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
3 – Partial Shunts ,[object Object],[object Object]
Esophagogastric Devascularization ,[object Object],[object Object],[object Object]
Orthotopic Liver Transplantation ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Prophylaxis
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[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
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[object Object],[object Object]
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[object Object]

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