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Chinese Archives of General Surgery(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (05): 379-384. doi: 10.3877/cma.j.issn.1674-0793.2024.05.012

• Review • Previous Articles    

Research progress on portal vein thrombosis in liver cirrhosis

Meini Ye1, Sijia Liu2, Yuwei Zang3, Yunjian Liu4,()   

  1. 1. Department of Operating Theatre, Jiujiang University Affiliated Hospital, Jiujiang 332001, China
    2. Department of Anesthesiology, Jiujiang University Affiliated Hospital, Jiujiang 332001, China
    3. Archives of Jiujiang University, Jiujiang 332000, China
    4. Department of Hepatobiliary Surgery, Jiujiang University Affiliated Hospital, Jiujiang 332001, China
  • Received:2024-03-20 Online:2024-10-01 Published:2024-10-16
  • Contact: Yunjian Liu

Abstract:

Portal vein thrombosis (PVT) is a complication of cirrhosis, and its incidence rate is positively correlated with the severity of cirrhosis. Some risk factors related to the occurrence and progression of PVT have been identified. Although the negative impact of fully formed PVT on the surgical outcomes of liver transplant recipients is clear, its impact on the progression of cirrhosis is still uncertain. The PVT treatment plan mainly includes anticoagulants and interventional thrombolysis, which requires specific selection based on the characteristics of each patient’s thrombus. This article summarizes the current progress in the definition, epidemiology, pathophysiology, grading, risk factors, diagnosis, natural history, clinical outcomes, and treatment of non-tumor PVT in liver cirrhosis.

Key words: Liver cirrhosis, Coagulation disorders, Portal hypertension, Portal vein thrombosis, Transjugular intrahepatic portosystemic shunt

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