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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms For Portal Hypertension?

my son is 9. he has portal vein hypertension blocking outside and inside the liver. he has an enlarged spleen and platelets in the 60s. due to the severe nature of the blockage he is not a candidate for TIPS or splenatic shutning. We are currently undergoing esphogial banding every 4-6 months for the vericies. wondering your opinions on a partial speen embolization??? and what does the next few years look like for us???
Thu, 30 Jun 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Yes, you can definitely take chance by partial spleen embolization.
You can actually go for therapeutic splenectomy.
Also enroll in liver transplant waiting list because he is ideal candidate for liver transplant.
Future complications are likely in his case. So you can expect
1. Hemetemesis
2. Intestinal bleed
3. Lower gastrointestinal bleed (hemorrhoids)
4. Hypoproteinemia and infection
5. Ascites
6. Hepatic encephalopathy
7. Hepatorenal syndrome, Hepatopulmonary syndrome etc.
So consult gastroenterologist and plan for liver transplant as early as possible.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
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What Are The Symptoms For Portal Hypertension?

Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you can definitely take chance by partial spleen embolization. You can actually go for therapeutic splenectomy. Also enroll in liver transplant waiting list because he is ideal candidate for liver transplant. Future complications are likely in his case. So you can expect 1. Hemetemesis 2. Intestinal bleed 3. Lower gastrointestinal bleed (hemorrhoids) 4. Hypoproteinemia and infection 5. Ascites 6. Hepatic encephalopathy 7. Hepatorenal syndrome, Hepatopulmonary syndrome etc. So consult gastroenterologist and plan for liver transplant as early as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.