Hepatic Portal Venous Gas: Review of the Literature and Sonographic Implications

To review the clinical data and sonographic implications of hepatic portal venous gas (HPVG), we collected 447 cases of HPVG from the MEDLINE database and the National Taiwan University Hospital, Taipei, Taiwan database and analyzed etiology, radiographic findings, diagnostic tools, and outcome of a...

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Main Authors: Chun-Yen Huang, Jen-Tang Sun, Kuang-Chau Tsai, Hsiu-Po Wang, Wan-Ching Lien
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-06-01
Series:Journal of Medical Ultrasound
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929644114000794
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author Chun-Yen Huang
Jen-Tang Sun
Kuang-Chau Tsai
Hsiu-Po Wang
Wan-Ching Lien
author_facet Chun-Yen Huang
Jen-Tang Sun
Kuang-Chau Tsai
Hsiu-Po Wang
Wan-Ching Lien
author_sort Chun-Yen Huang
collection DOAJ
description To review the clinical data and sonographic implications of hepatic portal venous gas (HPVG), we collected 447 cases of HPVG from the MEDLINE database and the National Taiwan University Hospital, Taipei, Taiwan database and analyzed etiology, radiographic findings, diagnostic tools, and outcome of all the cases. Among them, 61% of cases were nonischemic bowel disease. Mortality rates are significantly influenced by bowel ischemia and pneumatosis intestinalis. Ultrasound-diagnosed HPVG was more frequently reported after 1980 and associated with etiology. In conclusion, the number of cases with ultrasound-diagnosed HPVG is increasing. The etiology of HPVG should be searched and coincident imaging findings, including pneumatosis intestinalis, should be evaluated.
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spelling doaj.art-c4ad2c048c0849b59c400754eb6970752022-12-21T18:39:45ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412014-06-01222667010.1016/j.jmu.2014.04.008Hepatic Portal Venous Gas: Review of the Literature and Sonographic ImplicationsChun-Yen Huang0Jen-Tang Sun1Kuang-Chau Tsai2Hsiu-Po Wang3Wan-Ching Lien4Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Internal Medicine, National Taiwan University and National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University and National Taiwan University Hospital, Taipei, TaiwanTo review the clinical data and sonographic implications of hepatic portal venous gas (HPVG), we collected 447 cases of HPVG from the MEDLINE database and the National Taiwan University Hospital, Taipei, Taiwan database and analyzed etiology, radiographic findings, diagnostic tools, and outcome of all the cases. Among them, 61% of cases were nonischemic bowel disease. Mortality rates are significantly influenced by bowel ischemia and pneumatosis intestinalis. Ultrasound-diagnosed HPVG was more frequently reported after 1980 and associated with etiology. In conclusion, the number of cases with ultrasound-diagnosed HPVG is increasing. The etiology of HPVG should be searched and coincident imaging findings, including pneumatosis intestinalis, should be evaluated.http://www.sciencedirect.com/science/article/pii/S0929644114000794hepatic portal venous gasischemic bowelpneumatosis intestinalisultrasound
spellingShingle Chun-Yen Huang
Jen-Tang Sun
Kuang-Chau Tsai
Hsiu-Po Wang
Wan-Ching Lien
Hepatic Portal Venous Gas: Review of the Literature and Sonographic Implications
Journal of Medical Ultrasound
hepatic portal venous gas
ischemic bowel
pneumatosis intestinalis
ultrasound
title Hepatic Portal Venous Gas: Review of the Literature and Sonographic Implications
title_full Hepatic Portal Venous Gas: Review of the Literature and Sonographic Implications
title_fullStr Hepatic Portal Venous Gas: Review of the Literature and Sonographic Implications
title_full_unstemmed Hepatic Portal Venous Gas: Review of the Literature and Sonographic Implications
title_short Hepatic Portal Venous Gas: Review of the Literature and Sonographic Implications
title_sort hepatic portal venous gas review of the literature and sonographic implications
topic hepatic portal venous gas
ischemic bowel
pneumatosis intestinalis
ultrasound
url http://www.sciencedirect.com/science/article/pii/S0929644114000794
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AT hsiupowang hepaticportalvenousgasreviewoftheliteratureandsonographicimplications
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