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Portal hypertension is a condition in which the blood pressure of the portal venous system is too high. It is often the result of cirrhosis of the liver. Liver cirrhosis can lead to increased intrahepatic vascular resistance and vasodilation of portal system arteries, both of which increase pressure in the portal vein. [ 4 ]
The human hepatic portal system delivers about three-fourths of the blood going to the liver.The final common pathway for transport of venous blood from spleen, pancreas, gallbladder and the abdominal portion of the gastrointestinal tract [2] (with the exception of the inferior part of the anal canal and sigmoid colon) is through the hepatic portal vein.
The blood leaves the liver to the heart in the hepatic veins. The portal vein is not a true vein, because it conducts blood to capillary beds in the liver and not directly to the heart. It is a major component of the hepatic portal system, one of three portal venous systems in the human body; the others being the hypophyseal and renal portal ...
Oxygen rich blood is sent to the liver from the heart via the hepatic artery, while the portal vein brings nutrient rich (but depleted in oxygen) blood to the liver from the intestines. This blood passes by the network of capillaries before being evacuated by the hepatic veins into the inferior vena cava and subsequently the heart. The division ...
A portal triad (also known as portal canal, portal field [citation needed], portal area [citation needed], or portal tract [citation needed]) is a distinctive arrangement within lobules. It consists of the following five structures: [6] proper hepatic artery, an arteriole branch of the hepatic artery that supplies oxygen
The circulatory system is a system of organs that includes the heart, blood vessels, and blood which is circulated throughout the entire body of a human or other vertebrate. [ 1 ] [ 2 ] It includes the cardiovascular system , or vascular system , that consists of the heart and blood vessels (from Greek kardia meaning heart , and from Latin ...
The primary function of the Kupffer cell is to remove foreign debris and particles that have come from the hepatic portal system when passing through the liver. It is possible for the Kupffer cells to take in large particles by phagocytosis and smaller particles via pinocytosis . [ 4 ]
Portal hypertension is defined as increased portal venous pressure, with a hepatic venous pressure gradient greater than 5 mmHg. [3] [4] Normal portal pressure is 1–4 mmHg; clinically insignificant portal hypertension is present at portal pressures 5–9 mmHg; clinically significant portal hypertension is present at portal pressures greater than 10 mmHg. [5]