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Magnetic Resonance Angiography pp 301–319Cite as

The Splenoportal Venous System

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Portal hypertension has a high prevalence even in well-developed countries. In the Federal Republic of Germany approximately 3% of the population suffer from portal hypertension (Kraas et al. 1984). About 40% of patients with portal hypertensive disease have esophageal varices (Berchtold 1976), and about one-half of these undergo one or more episodes of bleeding. Strong esophageal hemorrhage has a lethality of approximately 50%. Therapeutic possibilities in patients with symptomatic portal hypertension are hmited. Sclerotherapy is the most important method for management of esophageal or gastric hemorrhage. Portal venous pressure may be diminished by means of shunt surgery. However, problems of surgical intervention include the development of hepatic encephalopathy and shunt occlusion. As an alternative therapeutic procedure, transjugular portosystemic shunt (TIPS), performed by placement of a stent into an intrahepatic connection between a hepatic vein and a branch of the portal vein, has been introduced successfully.

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Author information

Authors and Affiliations

  1. Radiologisches Institut, Katharinenhospital, Kriegsbergstraße 60, 70174, Stuttgart, Germany

    Dr. L. Guhl & Professor Dr. I. P. Arlart (Ärztlicher Director)

Authors
  1. Dr. L. Guhl
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  2. Professor Dr. I. P. Arlart
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Editor information

Editors and Affiliations

  1. des Radiologischen Instituts Stuttgart, Katharinenhospital, Kriegsbergstraße 60, 70174, Stuttgart, Germany

    Ingolf P. Arlart (Ärztlicher Direktor) (Ärztlicher Direktor)

  2. Röntgendiagnostik, Universität Basel/Kantonsspital, Petersgraben 4, 4031, Basel, Switzerland

    Georg M. Bongartz (Leitender Artz) (Leitender Artz)

  3. Dienst Radiologie, Katholieke Universiteit, Herestraat 49, 3000, Gasthuisberg Leuven, Belgium

    Guy Marchal

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© 1996 Springer-Verlag Berlin Heidelberg

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Guhl, L., Arlart, I.P. (1996). The Splenoportal Venous System. In: Arlart, I.P., Bongartz, G.M., Marchal, G. (eds) Magnetic Resonance Angiography. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97926-2_18

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  • DOI: https://doi.org/10.1007/978-3-642-97926-2_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-97928-6

  • Online ISBN: 978-3-642-97926-2

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