Clinical Manifestations of Portal Hypertension

  • Antoine Hadengue
  • Didier Lebrec
  • Jean-Pierre Benhamou


Portal hypertension, like systemic arterial hypertension, may be clinically latent and is usually diagnosed under three circumstances. First, in patients with chronic liver disease, clinical evaluation, ultrasound, and endoscopic studies are performed to evaluate the presence and consequences of portal hypertension. Second, portal hypertension may be discovered during esophageal endoscopy, disclosing esophageal varices, or during abdominal ultrasound, showing splenomegaly and portal-systemic collaterals. Third, portal hypertension is often discovered due to its complications, usually ascites or an episode of gastrointestinal bleeding, but rarely hepatic encephalopathy. Less frequent complications are hypoxia, pulmonary arterial hypertension, arterial aneurysms, and alterations in drug disposition (Table 19.1.)


Pulmonary Arterial Hypertension Portal Hypertension Hepatic Encephalopathy Esophageal Varix Spontaneous Bacterial Peritonitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Japan 1991

Authors and Affiliations

  • Antoine Hadengue
  • Didier Lebrec
  • Jean-Pierre Benhamou
    • 1
  1. 1.Service d’Hépatologie and Unité de Recherches de Physiopathologie Hépatique, INSERM U24Hôpital BeaujonClichyFrance

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