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Clinical Manifestations of Portal Hypertension

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Portal Hypertension

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Abstract

Portal hypertension, like systemic arterial hypertension, may be clinically latent and is usually diagnosed under three circumstances. First, in patients with chronic liver disease, clinical evaluation, ultrasound, and endoscopic studies are performed to evaluate the presence and consequences of portal hypertension. Second, portal hypertension may be discovered during esophageal endoscopy, disclosing esophageal varices, or during abdominal ultrasound, showing splenomegaly and portal-systemic collaterals. Third, portal hypertension is often discovered due to its complications, usually ascites or an episode of gastrointestinal bleeding, but rarely hepatic encephalopathy. Less frequent complications are hypoxia, pulmonary arterial hypertension, arterial aneurysms, and alterations in drug disposition (Table 19.1.)

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Authors and Affiliations

  1. Service d’Hépatologie and Unité de Recherches de Physiopathologie Hépatique, INSERM U24, Hôpital Beaujon, 92 118, Clichy, France

    Jean-Pierre Benhamou

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  1. Antoine Hadengue
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  2. Didier Lebrec
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  3. Jean-Pierre Benhamou
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Editors and Affiliations

  1. Department of Medicine, Chiba University Hospital, Inohana 1-8-1, Chiba, 280, Japan

    Kunio Okuda M.D., Ph.D. (Professor) (Professor)

  2. Department of Hepatology, Hopital Beaujon, 92118, Clichy, France

    Jean-Pierre Benhamou M.D. (Professor) (Professor)

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© 1991 Springer Japan

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Hadengue, A., Lebrec, D., Benhamou, JP. (1991). Clinical Manifestations of Portal Hypertension. In: Okuda, K., Benhamou, JP. (eds) Portal Hypertension. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68361-2_19

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  • DOI: https://doi.org/10.1007/978-4-431-68361-2_19

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68363-6

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