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Extrahepatic Portal Venous Obstruction (EHPVO)

Overview

Extrahepatic portal venous obstruction (EHPVO) is a common cause of major and life threatening upper gastrointestinal bleeding among Indians. Patients have large spleens and stunted growth. The diagnosis is easily confirmed by Doppler ultrasonography. Endoscopy sclerotherapy is the best option for the control of acute variceal bleeding.

Surgical intervention in variceal bleeding in EHPVO is indicated if there is

failure of endoscopic management in acute variceal bleeding,
bleeding not amenable to endoscopic treatment such as portal hypertensive gastropathy and ectopic varices,
as a onetime treatment for secondary prophylaxis in those who have difficult access to specialized centres
for associated complications like portal biliopathy, growth retardation, hypersplenism, and massive splenomegaly leading to poor quality of life.

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Extrahepatic Portal Venous Obstruction (EHPVO)

Overview

Surgical intervention in variceal bleeding in EHPVO is indicated if there is

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Dr. Smile Jhon

Orthopaedics