Pathophysiology of Portal Hypertension and Esophageal Varices

Esophageal varices are the major complication of portal hypertension. It is detected in about 50% of cirrhosis patients, and approximately 5–15% of cirrhosis patients show newly formed varices or worsening of varices each year. The major therapeutic strategy of esophageal varices consists of primary...

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Main Authors: Hitoshi Maruyama, Osamu Yokosuka
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Hepatology
Online Access:http://dx.doi.org/10.1155/2012/895787
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author Hitoshi Maruyama
Osamu Yokosuka
author_facet Hitoshi Maruyama
Osamu Yokosuka
author_sort Hitoshi Maruyama
collection DOAJ
description Esophageal varices are the major complication of portal hypertension. It is detected in about 50% of cirrhosis patients, and approximately 5–15% of cirrhosis patients show newly formed varices or worsening of varices each year. The major therapeutic strategy of esophageal varices consists of primary prevention, treatment for bleeding varices, and secondary prevention, which are provided by pharmacological, endoscopic, interventional and surgical treatments. Optimal management of esophageal varices requires a clear understanding of the pathophysiology and natural history. In this paper, we outline the current knowledge and future prospect in the pathophysiology of esophageal varices and portal hypertension.
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spelling doaj-art-ef3e06212f414b33909e625d089d97082025-02-03T01:22:31ZengWileyInternational Journal of Hepatology2090-34482090-34562012-01-01201210.1155/2012/895787895787Pathophysiology of Portal Hypertension and Esophageal VaricesHitoshi Maruyama0Osamu Yokosuka1Department of Medicine and Clinical Oncology, Chiba University, Graduate School of Medicine, 1-8-1, Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Medicine and Clinical Oncology, Chiba University, Graduate School of Medicine, 1-8-1, Inohana, Chuo-ku, Chiba 260-8670, JapanEsophageal varices are the major complication of portal hypertension. It is detected in about 50% of cirrhosis patients, and approximately 5–15% of cirrhosis patients show newly formed varices or worsening of varices each year. The major therapeutic strategy of esophageal varices consists of primary prevention, treatment for bleeding varices, and secondary prevention, which are provided by pharmacological, endoscopic, interventional and surgical treatments. Optimal management of esophageal varices requires a clear understanding of the pathophysiology and natural history. In this paper, we outline the current knowledge and future prospect in the pathophysiology of esophageal varices and portal hypertension.http://dx.doi.org/10.1155/2012/895787
spellingShingle Hitoshi Maruyama
Osamu Yokosuka
Pathophysiology of Portal Hypertension and Esophageal Varices
International Journal of Hepatology
title Pathophysiology of Portal Hypertension and Esophageal Varices
title_full Pathophysiology of Portal Hypertension and Esophageal Varices
title_fullStr Pathophysiology of Portal Hypertension and Esophageal Varices
title_full_unstemmed Pathophysiology of Portal Hypertension and Esophageal Varices
title_short Pathophysiology of Portal Hypertension and Esophageal Varices
title_sort pathophysiology of portal hypertension and esophageal varices
url http://dx.doi.org/10.1155/2012/895787
work_keys_str_mv AT hitoshimaruyama pathophysiologyofportalhypertensionandesophagealvarices
AT osamuyokosuka pathophysiologyofportalhypertensionandesophagealvarices