Therapy Algorithm for Portal Vein Thrombosis in Liver Cirrhosis: The Internist's Point of View

Conclusion: Based on the presently limited knowledge, a therapy algorithm is suggested favouring the TIPS as a first-line treatment for PVT in patients with symptomatic portal hypertension. Patients with thus far asymptomatic portal hypertension may first receive anticoagulation, preferably using LMWH. If these patients have a condition where anticoagulation is not promising (complete, extended, chronic PVT) or ineffective, or if they are candidates for liver transplantation, the TIPS may be implanted without delay.Viszeralmedizin 2014;30:8
Source: Viszeralmedizin - Category: Gastroenterology Source Type: research