The evaluation of
portal hypertension includes, as previously suggested [1], the assessment of the pathogenic factors and of the clinical complications of
portal hypertension.
The features of
portal hypertension in the small intestine vary from normal mucosa to bleeding ectopic varices that can lead to death.
Among 223 patients, 203 (91%) patients had liver cirrhosis, 129 (57.8%) patients were complicated with
portal hypertension, and 105 (47.1%) patients had hepatic carcinoma.
Taken together, in the setting of normal right heart pressures and a possible diagnosis of NRH, the patient could have
portal hypertension due to a presinusoidal obstruction.
Ballardie, "IgA nephropathy in non-cirrhotic
portal hypertension," Gut, vol.
Because
portal hypertension is the driving force responsible for the bleeding, it is wise to consider decompressing the portal venous system using TIPS, assuming that pre- and postsinusoidal causes of
portal hypertension have been ruled out.
Hepatic diseases that induce
portal hypertension such as liver cirrhosis, NASH, and chronic hepatitis can contribute to varicosities formation [10].
In this study, we found that the commonest cause of upper GI bleeding was
portal hypertension (68.57%), followed by erosive gastritis (12.85%) and peptic ulcer disease (5%).
Report of 24 left-sided
portal hypertension cases: a single-center prospective cohort study.
Arhan et al., "Report of 24 left-sided
portal hypertension cases: a single-center prospective cohort study," Digestive Diseases and Sciences, vol.