CASE DISCUSSION
Approach To Portal Hypertension
Presented from India by Dr. Rajat Bansal0
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Case Description
Portal hypertension is a clinical syndrome defined by a hepatic vein pressure gradient (HVPG) greater than 5 mm Hg, and is associated with encephalopathy, ascites, splenomegaly, and gastrointestinal varices. In individuals with cirrhosis, portal hypertension is the primary cause of serious...
Case Summary
- The presentation covers portal hypertension, defining it as a pathologic increase in portal venous pressure, leading to collaterals that bypass the liver. The gold standard for diagnosis is the hepatic venous pressure gradient (HVPG), with clinically significant portal hypertension indicated by an HVPG greater than 10 mmHg. Causes are categorized as pre-hepatic, intra-hepatic (pre-sinusoidal, sinusoidal, post-sinusoidal), and post-hepatic, with cirrhosis being the most common.
Speaker Profile
Dr. Rajat Bansal
Consultant Gastroenterologist and Therapeutic Endoscopist at Indraprastha Apollo Hospital, New Delhi.Dr. Rajat Bansal is a Consultant Gastroenterologist and Therapeutic Endoscopist at Indraprastha Apollo Hospital, New Delhi.
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