| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000415629 |
| ISSN: | 1665-2681 |
| Authors: | John, B.V1 Konjeti, R2 Aggarwal, A3 López, R4 Atreja, A5 Miller, C6 Zein, N.N1 Carey, W.D1 |
| Institutions: | 1Cleveland Clinic, Department of Gastroenterology and Hepatology, Cleveland, Ohio. Estados Unidos de América 2University of Connecticut, Department of Medicine, Farmington, Connecticut. Estados Unidos de América 3Indiana University Medical Center, Department of Gastroenterology, Indianapolis, Indiana. Estados Unidos de América 4Cleveland Clinic, Quantitative Health Sciences, Cleveland, Ohio. Estados Unidos de América 5Mount Sinai Medical Center, Department of Gastroenterology, Nueva York. Estados Unidos de América 6Cleveland Clinic, Cleveland, Hepato-biliary and Transplant Surgery, Cleveland, Ohio. Estados Unidos de América |
| Year: | 2013 |
| Season: | Nov-Dic |
| Volumen: | 12 |
| Number: | 6 |
| Pages: | 952-958 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Most portal vein thromboses (PVT) in cirrhotics are discovered incidentally. While case series demonstrate improved portal vein patency with anti-coagulation, there is little information on impact of PVT on morbidity and mortality. This study aimed to compare morbidity and mortality in cirrhotics with untreated PVT with those without PVT. Material and methods. Cirrhotics evaluated for orthotopic liver transplant in a single large transplant center were prospectively followed. Subjects had contrast CT or MRI at initial evaluation and serial imaging every 6 months until transplantation, removal from the list or death. Univariate and multivariate Cox regression analysis were used to assess associations between new PVT and factors of interest. Results. Of the 290 prospectively followed cirrhotics who met inclusion criteria, PVT was detected in 70 (24.1%)-47 had PVT at the time of initial evaluation and 23 developed one during the pre-transplant study period. A third of the patients with PVT had re-canalization or spontaneous resolution of thrombus while awaiting transplantation. There was no difference in the pre or posttransplant mortality between cirrhotics with and without PVT. Conclusion. Cirrhotics with untreated PVT fared equally well as those without PVT before and after transplantation. Further studies with larger numbers of patients are needed to determine if anticoagulation therapy truly improves outcomes in cirrhotics with portal vein thrombosis |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Sistema cardiovascular, Terapéutica y rehabilitación, Cirrosis hepática, Trasplante de hígado, Trombosis venosa portal, Hipertensión portal, Várices, Anticoagulación |
| Keyword: | Medicine, Cardiovascular system, Gastroenterology, Therapeutics and rehabilitation, Liver cirrhosis, Liver transplantation, Portal vein thrombosis, Portal hypertension, Varices, Anticoagulation |
| Full text: | Texto completo (Ver PDF) |
