{
    "abstract": "Extrahepatic portal vein thrombosis (EHPVO) is an uncommon cause of portal hypertension. In the long term, patients may develop portal cavernoma cholangiopathy (PCC). Up to 30%-40% of patients with EHPVO may not have shuntable veins and are often difficult to manage surgically. Interventional treatment including portal vein recanalisation-trans jugular intrahepatic portosystemic shunt (PVRecan-TIPS) has been used for patients with EHPVO. However, PV reconstruction-trans jugular intrahepatic portosystemic shunt (PVRecon-TIPS) and portal vein stenting are novel techniques for managing such patients with EHPVO with non-shuntable venous anatomy. In contrast to PVRecan-TIPS, PV reconstruction-TIPS (PVRecon-TIPS) is performed through intrahepatic collaterals. Here we present six cases of PCC who presented with recurrent acute variceal bleeding (AVB) and or refractory biliary stricture. They did not have any shuntable veins. PVRecon-TIPS was performed for five patients whilst PV stenting was done in one. Amongst the six patients, one died of sepsis whilst one who developed hyponatremia and hepatic encephalopathy was salvaged with conservative management. Following the procedure, they were started on anti-coagulation. Decompression of cavernoma was documented in all other patients. Biliary changes improved completely in 40% of patients.",
    "authors": [
        {
            "affiliation": "Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Sayan",
            "initials": "S",
            "lastname": "Malakar"
        },
        {
            "affiliation": "Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Rajanikant R",
            "initials": "RR",
            "lastname": "Yadav"
        },
        {
            "affiliation": "Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Gaurav",
            "initials": "G",
            "lastname": "Pandey"
        },
        {
            "affiliation": "Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Praveer",
            "initials": "P",
            "lastname": "Rai"
        },
        {
            "affiliation": "Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Gurubasava",
            "initials": "G",
            "lastname": "Sajjan"
        },
        {
            "affiliation": "Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Anurag",
            "initials": "A",
            "lastname": "Mehndiratta"
        },
        {
            "affiliation": "Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Malla V A",
            "initials": "MVA",
            "lastname": "Gangadhar Rao"
        },
        {
            "affiliation": "Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "S Rakesh",
            "initials": "SR",
            "lastname": "Kumar"
        },
        {
            "affiliation": "Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Dhruv",
            "initials": "D",
            "lastname": "Thakur"
        },
        {
            "affiliation": "Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Pritam",
            "initials": "P",
            "lastname": "Das"
        },
        {
            "affiliation": "Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Samir",
            "initials": "S",
            "lastname": "Mohindra"
        },
        {
            "affiliation": "Department of Surgical Gastroenterology and Liver Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.",
            "firstname": "Supriya",
            "initials": "S",
            "lastname": "Sharma"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2024 Indian National Association for Study of the Liver. Published by Elsevier B.V.",
    "doi": "10.1016/j.jceh.2024.101437\n10.1136/gut.2010.230201\n10.1002/cld.1130\n10.1111/j.1477-2574.2010.00232.x\n10.1007/s12664-009-0010-7\n10.1055/s-0043-121348\n10.1016/j.jvir.2017.08.005\n10.1016/j.jhep.2010.06.029\n10.1155/2014/659726\n10.1016/j.radcr.2016.05.014\n10.1016/j.jceh.2023.06.005\n10.1016/j.jceh.2013.08.003\n10.1016/j.jhep.2013.08.013\n10.7759/cureus.10464\n10.1038/ki.1997.357\n10.1007/s00330-015-3777-1\n10.5152/dir.2020.20461\n10.1016/j.jhepr.2022.100667\n10.1007/s00270-020-02713-0\n10.1016/s0016-5107(99)80013-3",
    "journal": "Journal of clinical and experimental hepatology",
    "keywords": [
        "cirrhosis",
        "extrahepatic portal vein obstruction",
        "portal cavernoma cholangiopathy",
        "portal vein stenting",
        "portal vein thrombosis"
    ],
    "methods": null,
    "publication_date": "2024-06-17",
    "pubmed_id": "38882179\n25755591\n21270119\n34691399\n21159101\n19529903\n29113006\n29050854\n20932597\n24868203\n27594947\n37693264\n25755597\n23978714\n33083167\n9264006\n25903717\n33044172\n36941824\n33230650\n10536320",
    "results": null,
    "title": "Portal Vein Reconstruction-trans Jugular Intrahepatic Portosystemic Shunt and Portal Vein Stenting in Patients With Extrahepatic Portal Vein Obstruction.",
    "xml": "<Element 'PubmedArticle' at 0x788502c0e160>"
}