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KMID : 0882420230980040162
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Korean Journal of Medicine
2023 Volume.98 No. 4 p.162 ~ p.172
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Epidemiology, Diagnosis, and Treatment of Portal Vein Thrombosis
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Seo Jun-Young
Kim Se-Hwa
Yoo Yang-Jae
Lee Ah-Young
Park Sang-Jong
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Abstract
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In recent years, the incidence of portal vein thrombosis (PVT) in patients with cirrhosis has increased; the thrombosis ranges from asymptomatic partial to complete occlusion. Treatment is difficult. Anticoagulation therapy may be the optimal first-line treatment for patients with acute PVT who lack variceal bleeding or mesenteric ischemia. Minimally invasive treatment options include mechanical thrombectomy, chemical thrombolysis, and stent placement. However, the effectiveness and timing of anticoagulation and interventional therapies remain unclear.
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KEYWORD
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Portal vein, Thrombosis, Anticoagulation, Thrombolytic therapy, Transjugular intrahepatic portasystemic shunt
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