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35 years old suffering from portal vein thrombosis. What is the possible treatment ?

I am 35 years old and suffering from thrombosis in portal vein. is there any immediate remedy from this problem.
Asked On : Wed, 29 Jun 2011
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Gastroenterologist 's  Response
Portal vein thrombosis may occur in childhood, when a person develops portal cavernoma (bypass vessels around thrombosed veins) as seen on usg abdomen and presentation is either incidental, with splenomegaly which may be asymptomatic or present with anemia and low platelet count (thrombocytopenia). Another presenation is with vomiting of blood.
Portal vein thrombosis may occur in adult if they have cirrhosis, chronic pancreatitis or liver cancer.
Treatment depends upon manifestation. Endoscopic banding of dilated esophageal veins (varices) is usually Required. If anemia or thrombocytopenia is symptomatic (fatigue, exaustion, or bleeding gums, spots on skin), then splenectomy is indicated.
Patient should be vaccinated against hepatitis B and other vaccines if splenectomy is planned.

Dr Vaibhav Banait
MD (Medicine), DNB (Medicine), DM (Gastro-Enterology)
Consultant Gastro-Enterologist and Hepatologist
Therapeutic Endoscopist
PH: +919860643436

Answered: Wed, 29 Jun 2011
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