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Question
Hello doctor,
I have cirrhosis of the liver, splenomegaly, right portal vein varices, moderate free fluid in the abdomen. Can I ask the doctor if portal hypertension in cirrhosis can be treated? How long is the lifespan? Thank you doctor.
Anonymous customer
Answer
Answered by Master, Doctor Nguyen Quoc Lan - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.
Hello,
With the question “Can portal hypertension in cirrhosis be treated? ", the doctor would like to answer as follows:
Cirrhosis is anatomically defined as diffuse destruction of the normal liver parenchyma and replacement by fibrous tissue and the establishment of neoplastic liver nodules. It is the end result of the process of fibrosis caused by chronic liver disease, in our country usually hepatitis B, C, alcoholic cirrhosis. Cirrhosis is clinically characterized by impaired hepatocellular function and portal hypertension.
Your current situation clearly shows portal hypertension such as portal vein dilation, splenomegaly, free fluid in the abdomen. In terms of treatment, it consists of 2 parts, treating the cause of cirrhosis and treating the complications caused by cirrhosis. Depending on the cause of the disease is hepatitis B, C, autoimmune hepatitis, primary sclerosing cholangitis, alcoholic cirrhosis, Wilson's disease, Hemochromatosis, NASH that your doctor will guide you to treat individually.
In terms of complications such as liver cancer, portal hypertension, primary peritonitis, ascites, hepatorenal syndrome, hepatic encephalopathy, your doctor will decide after a thorough examination of you how to combine treatment. , how to track.
Good prognosis or not depends much on the ability to preserve liver function such as prothrombin ratio, amount of ascites, gastrointestinal bleeding, high blood bilirubin, low blood albumin, poor nutrition. If you have a liver transplant, the prognosis is usually better. Therefore, you should visit the doctor carefully so that the doctor can give a more accurate prognosis.
If you still have questions about portal hypertension in cirrhosis, you can go to a hospital of Vinmec Health System to have it checked. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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