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Gastric varices may also be found in patients with thrombosis of the splenic vein, into which the short gastric veins that drain the fundus of the stomach flow. The latter may be a complication of acute pancreatitis , pancreatic cancer , or other abdominal tumours, as well as hepatitis C .
The splenic vein can be affected by thrombosis, presenting some of the characteristics of portal vein thrombosis and portal hypertension but localized to part of the territory drained by the splenic vein. These include varices in the stomach wall due to hypertension in the short gastric veins and abdominal pain. This results in gastric varices ...
Splenopancreatic and gastric disconnection (SPGD) [ edit ] DSRS is typically done with splenopancreatic and gastric disconnection (ligation of the gastric veins and pancreatic veins (that drain into the portal vein ) and complete detachment of the splenic vein from the portal venous system ), as it improves the outcome.
Portal hypertension is defined as increased portal venous pressure, with a hepatic venous pressure gradient greater than 5 mmHg. [3] [4] Normal portal pressure is 1–4 mmHg; clinically insignificant portal hypertension is present at portal pressures 5–9 mmHg; clinically significant portal hypertension is present at portal pressures greater than 10 mmHg. [5]
Patients with portal hypertensive gastropathy may experience bleeding from the stomach, which may uncommonly manifest itself in vomiting blood or melena; however, portal hypertension may cause several other more common sources of upper gastrointestinal bleeding, such as esophageal varices and gastric varices. On endoscopic evaluation of the ...
In human anatomy, the superior mesenteric vein (SMV) is a blood vessel that drains blood from the small intestine (jejunum and ileum). Behind the neck of the pancreas , the superior mesenteric vein combines with the splenic vein to form the portal vein that carries blood to the liver .
Splenic vein thrombosis is a rare condition that causes esophageal varices without a raised portal pressure. Splenectomy can cure the variceal bleeding due to splenic vein thrombosis. [citation needed] Varices can also form in other areas of the body, including the stomach (gastric varices), duodenum (duodenal varices), and rectum (rectal ...
Certain cases of splenic abscess; Certain cases of wandering spleen; Splenic vein thrombosis with bleeding Gastric varices; When platelets are destroyed in the spleen as a result of an auto-immune condition, such as idiopathic thrombocytopenic purpura. When the spleen bleeds following physical trauma; Following spontaneous rupture