FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2912102047> ?p ?o ?g. }

• W2912102047 endingPage "S1556" @default.
• W2912102047 startingPage "S1556" @default.
• W2912102047 abstract "Management of portal vein thrombosis in cirrhotic patients does not have a consensus of publications for prevention, treatment, or monitoring, particularly in context of chronicity. In patients with esophagogastric varices who are at high risk for bleeding, decision to anticoagulate is guided by risk-benefit ratio depending on clinical scenario, where risk of bleeding is 14.4-16.2% [1]. A 60-year-old Caucasian male presented to a community hospital complaining of 2 days of epigastric and right upper quadrant abdominal pain, which had been persisting at low intensity for 1 year. Past medical history significant for cirrhosis diagnosed at age 35. Initial physical exam demonstrated vital signs within normal limits,non-distended abdomen with no appreciable fluid wave, spider angioma noted diffusely, normal bowel sounds, right upper quadrant tenderness with negative Murphy's sign, mild epigastric tenderness, no hepatosplenomegaly or asterixis, and no focal neurological deficits. CT with contrast demonstrated a contracted irregular, nodular liver consistent with cirrhosis, considerable varices, small calcified gallstones within the gallbladder without inflammation, and portal vein with extension into superior mesenteric vein thrombus with some collateral veins but not complete cavernous transformation. MELD calculated as 13 with CTP class B cirrhosis. Per endoscopy, three grade 4 varices were observed at distal third of the esophagus, and upon retroflexion, two additional grade 3 varices noted in the fundus. Overnight, patient developed worsening abdominal pain, in which repeat CT revealed progressive bowel ischemic changes and leukocytosis had increased to 34.5. On initial assessment, patient's increased variceal bleeding risk and perceived inability to survive such a bleed in the context of unclear data on the benefits of anticoagulation in portal vein thrombosis of probable chronicity, influenced decision making to not anticoagulate. However, as patient deteriorated due ischemia from the superior mesenteric vein thrombosis, patient was anticoagulated with heparin prior to transfer to a tertiary care center for possible transjugular intrahepatic portosystemic shunt intervention.Figure: Abdominal/pelvic CT scan with IV and oral contrast. (A) Transverse view demonstrating portal vein thrombosis (B) Transverse view demonstrating superior mesenteric vein thrombosis with surrounding bowel ischemia." @default.
• W2912102047 created "2019-02-21" @default.
• W2912102047 creator A5002921166 @default.
• W2912102047 creator A5009186357 @default.
• W2912102047 creator A5011412007 @default.
• W2912102047 date "2017-10-01" @default.
• W2912102047 modified "2023-10-16" @default.
• W2912102047 title "Anticoagulation of Chronic Portal Vein Thrombosis in a Patient With Esophageal Varices" @default.
• W2912102047 doi "https://doi.org/10.14309/00000434-201710001-02910" @default.
• W2912102047 hasPublicationYear "2017" @default.
• W2912102047 type Work @default.
• W2912102047 sameAs 2912102047 @default.
• W2912102047 citedByCount "0" @default.
• W2912102047 crossrefType "journal-article" @default.
• W2912102047 hasAuthorship W2912102047A5002921166 @default.
• W2912102047 hasAuthorship W2912102047A5009186357 @default.
• W2912102047 hasAuthorship W2912102047A5011412007 @default.
• W2912102047 hasConcept C126322002 @default.
• W2912102047 hasConcept C126838900 @default.
• W2912102047 hasConcept C141071460 @default.
• W2912102047 hasConcept C2777214474 @default.
• W2912102047 hasConcept C2777575454 @default.
• W2912102047 hasConcept C2777595160 @default.
• W2912102047 hasConcept C2778012290 @default.
• W2912102047 hasConcept C2778800853 @default.
• W2912102047 hasConcept C2778808290 @default.
• W2912102047 hasConcept C2779033008 @default.
• W2912102047 hasConcept C2780868729 @default.
• W2912102047 hasConcept C2780955771 @default.
• W2912102047 hasConcept C71924100 @default.
• W2912102047 hasConceptScore W2912102047C126322002 @default.
• W2912102047 hasConceptScore W2912102047C126838900 @default.
• W2912102047 hasConceptScore W2912102047C141071460 @default.
• W2912102047 hasConceptScore W2912102047C2777214474 @default.
• W2912102047 hasConceptScore W2912102047C2777575454 @default.
• W2912102047 hasConceptScore W2912102047C2777595160 @default.
• W2912102047 hasConceptScore W2912102047C2778012290 @default.
• W2912102047 hasConceptScore W2912102047C2778800853 @default.
• W2912102047 hasConceptScore W2912102047C2778808290 @default.
• W2912102047 hasConceptScore W2912102047C2779033008 @default.
• W2912102047 hasConceptScore W2912102047C2780868729 @default.
• W2912102047 hasConceptScore W2912102047C2780955771 @default.
• W2912102047 hasConceptScore W2912102047C71924100 @default.
• W2912102047 hasLocation W29121020471 @default.
• W2912102047 hasOpenAccess W2912102047 @default.
• W2912102047 hasPrimaryLocation W29121020471 @default.
• W2912102047 hasRelatedWork W2000285716 @default.
• W2912102047 hasRelatedWork W2096451046 @default.
• W2912102047 hasRelatedWork W2347486323 @default.
• W2912102047 hasRelatedWork W2469320413 @default.
• W2912102047 hasRelatedWork W2806992985 @default.
• W2912102047 hasRelatedWork W2894404943 @default.
• W2912102047 hasRelatedWork W4292092819 @default.
• W2912102047 hasRelatedWork W4302307268 @default.
• W2912102047 hasRelatedWork W2133815194 @default.
• W2912102047 hasRelatedWork W2142966007 @default.
• W2912102047 hasVolume "112" @default.
• W2912102047 isParatext "false" @default.
• W2912102047 isRetracted "false" @default.
• W2912102047 magId "2912102047" @default.
• W2912102047 workType "article" @default.