Korean J Med.
2023 Aug;98(4):162-172. 10.3904/kjm.2023.98.4.162.
Epidemiology, Diagnosis, and Treatment of Portal Vein Thrombosis
- Affiliations
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- 1Department of Gastroenterology, DMC Bundang Jesaeng General Hospital, Seongnam, Korea
- 2Department of Hepatology, DMC Bundang Jesaeng General Hospital, Seongnam, Korea
- 3Department of Gastroenterology, CHA University Gangnam Medical Center, CHA University School of Medicine, Seoul, Korea
- KMID: 2544844
- DOI: http://doi.org/10.3904/kjm.2023.98.4.162
Abstract
- In recent years, the incidence of portal vein thrombosis (PVT) in patients with cirrhosis has increased; the thrombosis ranges from asymptomatic partial to complete occlusion. Treatment is difficult. Anticoagulation therapy may be the optimal first-line treatment for patients with acute PVT who lack variceal bleeding or mesenteric ischemia. Minimally invasive treatment options include mechanical thrombectomy, chemical thrombolysis, and stent placement. However, the effectiveness and timing of anticoagulation and interventional therapies remain unclear.
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