Portal vein thrombosis classification: Difference between revisions
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{{Portal vein thrombosis}} | {{Portal vein thrombosis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{F.K}} | ||
==Overview== | ==Overview== | ||
Portal vein thrombosis may be classified according to its extension into 4 groups including: Confined to the portal vein beyond the confluence of the [[splenic vein]], extended to the [[superior mesenteric vein]] with patent [[mesenteric]] [[vessels]], extended to the whole [[splanchnic]] venous system with large collaterals, and extended to the whole [[splanchnic]] venous system with only fine collaterals. Portal vein thrombosis may be classified based on the duration of symptoms as either acute or chronic. | |||
==Classification== | ==Classification== | ||
Portal vein thrombosis may be classified according to the extension into 4 groups:<ref name="pmid10830208">{{cite journal |vauthors=Jamieson NV |title=Changing perspectives in portal vein thrombosis and liver transplantation |journal=Transplantation |volume=69 |issue=9 |pages=1772–4 |year=2000 |pmid=10830208 |doi= |url=}}</ref><ref name="pmid20066733">{{cite journal |vauthors=Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A |title=Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment |journal=World J. Gastroenterol. |volume=16 |issue=2 |pages=143–55 |year=2010 |pmid=20066733 |pmc=2806552 |doi= |url=}}</ref> | |||
*Confined to the portal vein beyond the confluence of the [[splenic vein]] | |||
*Extended to the [[superior mesenteric vein]], but with patent [[mesenteric]] [[vessels]] | |||
*Extended to the whole [[splanchnic]] venous system, but with large collaterals | |||
* | *Extended to the whole [[splanchnic]] venous system with only fine collaterals | ||
* | Based on the onset of symptoms, portal vein thrombosis may be classified as either acute or chronic:<ref name="pmid25393320">{{cite journal |vauthors=Ma J, Yan Z, Luo J, Liu Q, Wang J, Qiu S |title=Rational classification of portal vein thrombosis and its clinical significance |journal=PLoS ONE |volume=9 |issue=11 |pages=e112501 |year=2014 |pmid=25393320 |pmc=4231054 |doi=10.1371/journal.pone.0112501 |url=}}</ref> | ||
*[[Acute]] portal vein thrombosis: Defined as duration of symptoms <60 days and absence of portal carvernoma and [[portal hypertension]] | |||
*[[Chronic]] portal vein thrombosis: Defined as duration of symptoms >60 days and/or presence of portal carvernoma and [[portal hypertension]] | |||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 16:48, 28 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Portal vein thrombosis may be classified according to its extension into 4 groups including: Confined to the portal vein beyond the confluence of the splenic vein, extended to the superior mesenteric vein with patent mesenteric vessels, extended to the whole splanchnic venous system with large collaterals, and extended to the whole splanchnic venous system with only fine collaterals. Portal vein thrombosis may be classified based on the duration of symptoms as either acute or chronic.
Classification
Portal vein thrombosis may be classified according to the extension into 4 groups:[1][2]
- Confined to the portal vein beyond the confluence of the splenic vein
- Extended to the superior mesenteric vein, but with patent mesenteric vessels
- Extended to the whole splanchnic venous system, but with large collaterals
- Extended to the whole splanchnic venous system with only fine collaterals
Based on the onset of symptoms, portal vein thrombosis may be classified as either acute or chronic:[3]
- Acute portal vein thrombosis: Defined as duration of symptoms <60 days and absence of portal carvernoma and portal hypertension
- Chronic portal vein thrombosis: Defined as duration of symptoms >60 days and/or presence of portal carvernoma and portal hypertension
References
- ↑ Jamieson NV (2000). "Changing perspectives in portal vein thrombosis and liver transplantation". Transplantation. 69 (9): 1772–4. PMID 10830208.
- ↑ Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A (2010). "Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment". World J. Gastroenterol. 16 (2): 143–55. PMC 2806552. PMID 20066733.
- ↑ Ma J, Yan Z, Luo J, Liu Q, Wang J, Qiu S (2014). "Rational classification of portal vein thrombosis and its clinical significance". PLoS ONE. 9 (11): e112501. doi:10.1371/journal.pone.0112501. PMC 4231054. PMID 25393320.