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Portal Hypertension: Introduction - Hopkins Medicine

Figure 1. Location of liver in the Hypertension: Introduction As early as the 17th century, it was realized that structural changes in the Portal circulation could cause gastrointestinal 1902, Gilbert and Carnot introduced the term " Portal hypertension" to describe this condition. Portal hypertension is a pressurein the Portal venous system that is at least 5 mm Hg higher than the pressure in the inferior vena cava. This increased pressureresults from a functional obstruction to blood flow from any point in the Portal system's origin (in the splanchnic bed) through thehepatic veins (exit into the systemic circulation) or from an increase in blood flow in the progress has been made in understanding the pathophysiology of Portal hypertension.

suggestive. Direct or indirect measurements of the portal vein may be accomplished using wedged hepatic vein pressure or splenic pulp pressure, but these methods are relatively invasive. Imaging Studies Imaging studies of patients with portal hypertension are helpful to make a diagnosis and to define portal venous anatomy.

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