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Review
. 2015 Dec 9;6(5):107-111.
doi: 10.1002/cld.511. eCollection 2015 Nov.

Noncirrhotic portal hypertension: Medical and endoscopic management

S K Sarin  1 , Cyriac Abby Philips  1 , Rajeev Khanna  1
Affiliations
Review

Noncirrhotic portal hypertension: Medical and endoscopic management

S K Sarin et al. Clin Liver Dis (Hoboken). .
No abstract available

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Figures

Figure 1
Figure 1
A, Large, oozing varices in a patient with EHPVO. B, Active spurt from large varices in patient with EHPVO. C, Endoscopic band ligation over the spurting varix resulting in hemostasis. D, Spurting gastroesophageal varix (GOV) 2 with blood gushing into the injector during cyanoacrylate glue therapy. E, Glue therapy for large, oozing GOV 1 followed by (F) hemostasis after glue cast formation.
Figure 2
Figure 2
A, Algorithmic management of a bleeding patient with NCPH. Red lines indicate in case of failure of medical or endotherapy. B, Algorithmic management in primary prophylaxis in a patient with NCPH with variceal disease. Abbreviations: APC, argon plasma coagulation; BRTO, balloon, occluded transvenous obliteration; EVL, endoscopic band ligation; GAVE, gastric antral vascular ectasia; GOV, gastroesophageal varices; IGV, isolated gastric varix; PHG, portal hypertensive gastropathy; TIPS, transjugular, intrahepatic portosystemic shunt; UGIE, upper gastrointestinal endoscopy. A, Adapted from Journal of Hepatology.6 Copyright 2014, European Association for the Study of the Liver.
Figure 3
Figure 3
A, Classification of portal biliopathy and schematic representation in a patient with NCPH/EHPVO. Classification of portal biliopathy in EHPVO: (a) type I, involvement of extrahepatic bile duct; (b) type II, involvement of intrahepatic bile ducts only; (c) type IIIa, involvement of extrahepatic bile duct and unilateral intrahepatic bile duct (left or right); and (d) type IIIb, involvement of extrahepatic bile duct and bilateral intrahepatic ducts. B, Algorithmic management of portal biliopathy in a patient with NCPH/EHPVO. ERCP, endoscopic retrograde cholangiopancreatography; GOV, gastroesophageal varices; IHBR, intrahepatic biliary radicles; MRCP, magnetic resonance cholangiopancreatography; SAP, serum alkaline phosphatase. A, Reproduced from Chandra R, Kapoor D, Tharakan A, Chaudhary A, Sarin SK. Portal biliopathy. J Gastroenterol Hepatol 2001;16:1086‐1092; Journal of Gastroenterology and Hepatology. Copyright 2001, Asian Pacific Association of Gastroenterology. B, Adapted from Journal of Hepatology.6 Copyright 2014, European Association for the Study of the Liver.
See this image and copyright information in PMC

References

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