2018, Number 6
Thrombosis of the Portal Venous System in Cirrhotic Patients
Language: English
References: 5
Page: 1078-1080
PDF size: 104.69 Kb.
Text Extraction
Cruz-Ramon, et al. report on portal vein thrombosis (PVT) in patients with liver cirrhosis. We feel the necessity to avert and cure such underestimated and undertreated complication: PVT often proceeds to severe portal hypertension and bleeding, and correlates with lower life expectancy. A major problem is the wide disparity of treatments. We believe that a comment is warranted, as other possible mechanisms leading to PVT are often overlooked.. These mechanisms include neutrophilic infiltration, a cause of neutrophilic extracellular traps or NETosis, and anti-phospholipid syndrome (APS). Both conditions can be elicited by Helicobacter pylori (H. pylori) infection.REFERENCES
Kearon C, Akl EA, Comerota AJ, Prandoni P, Bounameaux H, Goldhaber SZ, Nelson ME, et al. Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis. 9th Ed. American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141(2 Suppl.): e419S-494S.
Intagliata NM, Argo CK, Stine JG, Lisman T, Caldwell SH1, Violi F; faculty of the 7th International Coagulation in Liver Disease. Concepts and Controversies in Haemostasis and Thrombosis Associated with Liver Disease: Proceedings of the 7th International Coagulation in Liver Disease Conference. Thromb Haemost 2018; 118(8): 1491-506.