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[Portal hypertension in patients with inflammatory bowel disease].
- Source :
-
Gastroenterologia y hepatologia [Gastroenterol Hepatol] 2010 Apr; Vol. 33 (4), pp. 297-302. Date of Electronic Publication: 2010 Mar 04. - Publication Year :
- 2010
-
Abstract
- Portal hypertension (PH) is a complication that may occur in patients with inflammatory bowel disease (IBD). In these patients, the etiology of PH may not be alcoholic or viral cirrhosis (which cause 90% of cases in the general population). Consequently, etiologic study of PH in patients with IBD should always include a wide spectrum of possibilities. Moreover, the development of PH in IBD patients often requires a distinct therapeutic approach to IBD (both medical and surgical) as PH may be a contraindication for some drugs and is a risk factor for surgical morbidity and mortality. We present the cases of two patients with IBD who developed PH and review the most likely causes of PH in IBD, as well as preventive and therapeutic strategies.<br /> (Copyright 2009 Elsevier España, S.L. All rights reserved.)
- Subjects :
- Adult
Anti-Inflammatory Agents, Non-Steroidal therapeutic use
Arthritis, Juvenile complications
Arthritis, Juvenile drug therapy
Ascites etiology
Crohn Disease drug therapy
Crohn Disease physiopathology
Female
Humans
Hypertension, Portal physiopathology
Immunosuppressive Agents adverse effects
Immunosuppressive Agents therapeutic use
Inflammatory Bowel Diseases complications
Inflammatory Bowel Diseases drug therapy
Intestinal Pseudo-Obstruction etiology
Liver Cirrhosis chemically induced
Mesalamine therapeutic use
Mesenteric Veins pathology
Methotrexate adverse effects
Methotrexate therapeutic use
Splenomegaly etiology
Thioguanine therapeutic use
Thrombophilia etiology
Varicose Veins etiology
Crohn Disease complications
Hypertension, Portal etiology
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0210-5705
- Volume :
- 33
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Gastroenterologia y hepatologia
- Publication Type :
- Academic Journal
- Accession number :
- 20206413
- Full Text :
- https://doi.org/10.1016/j.gastrohep.2009.12.003