Splenomegaly Portal Hypertension

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Updated: April 24, 2022

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Hopkinsmedicine.org

The Johns Hopkins University School of Medicine, located in Baltimore, Maryland, is the research-intensive medical school of Johns Hopkins University. Founded in 1893, the School of Medicine shares a campus with the Johns Hopkins Hospital and Johns Hopkins Children's Center, established in 1889.

(410) 955-5000 733 N Broadway, Baltimore, MD 21205

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1

Why splenectomy is done in portal hypertension?

Splenectomy allows better access to the gastric fundus and the distal esophagus to complete the devascularization. Portal vein thrombosis of as much as 20% is reported following splenectomy. Ascites is a frequent early postoperative complication because the portal hypertension is maintained.
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What is the most common complication of portal hypertension?

Variceal hemorrhage is the most common complication associated with portal hypertension. Almost 90% of patients with cirrhosis develop varices, and approximately 30% of varices bleed.
2. Nih.gov

Role of spleen enlargement in cirrhosis with portal hypertension

https://pubmed.ncbi.nlm.nih.gov/11926560/

In this condition, splenomegaly is not only caused by portal congestion, but it is mainly due to tissue hyperplasia and fibrosis. The increase in spleen size is ...

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