Document Detail


Pregnancy and portal hypertension a pathology view of physiologic changes.
MedLine Citation:
PMID:  17060888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The coexistent of pregnancy and liver disease represent a complex clinical situation, besides the liver complications that present in pregnancy with a previous health liver, like intrahepatic cholestasis of pregnancy, acute fatty liver of pregnancy or HELLP syndrome with bleeding disorders and viral hepatitis, the previous liver damage with portal hypertension associated represent a clear stated of hemodynamic changes which increased risk of variceal bleeding. The portal hypertension syndrome has a splanchnic blood flow increase. During pregnancy an hypervolemic stated developed as consequence there is an increased in portal flow that contributed to more portal pressure transmitted to the collaterals veins which increase variceal bleeding risk in this group of patients. The present review will focus on treatment options to prevent variceal bleeding in this clinical situation.
Authors:
Eric López-Méndez; Lourdes Avila-Escobedo
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annals of hepatology     Volume:  5     ISSN:  1665-2681     ISO Abbreviation:  Ann Hepatol     Publication Date:    2006 Jul-Sep
Date Detail:
Created Date:  2006-10-24     Completed Date:  2007-05-24     Revised Date:  2012-04-05    
Medline Journal Info:
Nlm Unique ID:  101155885     Medline TA:  Ann Hepatol     Country:  Mexico    
Other Details:
Languages:  eng     Pagination:  219-23     Citation Subset:  IM    
Affiliation:
Gastroenterology Department, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico. ericlopezmendez@yahoo.com.mx
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MeSH Terms
Descriptor/Qualifier:
Female
Gastrointestinal Hemorrhage / physiopathology
HELLP Syndrome / physiopathology*
Humans
Hypertension, Portal / physiopathology*
Pregnancy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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