ArticleBMC surgery2020
Clinical features of patients with hepatic portal venous gas.
Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 22 citations in OpenAlex.
- Catastrophic STS/SVS type B3 aortic dissection complicated by hepatic portal venous gas and multi-organ malperfusion: a case report.Frontiers in medicine · 2026Article
- Gut microbiota and innate immune barrier dysfunction in hepatic portal venous gas: a hypothesis-generating review.Frontiers in immunology · 2026Review
- Advancement in the diagnosis and treatment of hepatic portal venous gas.World journal of gastrointestinal surgery · 2025Review
- Identification of CT features and laboratory indicators to aid in the management of patients with portal venous gas identified on imaging.Irish journal of medical science · 2025Article
- A case of portal venous gas caused by the use of a nasojejunal nutrition tube.The Journal of international medical research · 2025Article
- Man With Abdominal Pain.Journal of the American College of Emergency Physicians open · 2025Review
- Article
- Treatment outcomes in non-occlusive mesenteric ischemia and post-treatment return to social activities.Surgery today · 2025Article
- Clinical characteristic analysis of 25 cases of hepatic portal venous gas.Frontiers in surgery · 2025Article
- Is reoperation required for patients presenting with hepatic portal venous gas after gastrointestinal surgery: a review of the literature.Annals of medicine · 2024Review
- Potential Indicators of Intestinal Necrosis in Portal Venous Gas: A Case Report of an 82-Year-Old Woman on Long-Term Hemodialysis with Ascites and Pneumatosis Coli.The American journal of case reports · 2024Article
- Decoding Hepatic Portal Venous Gas: A Case Report.Cureus · 2024Article
- [Clinical characteristics of 7 cases of hepatic portal venous gas].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023Observational
- A healthy young patient with hepatic portal vein gas due to acute gastric dilatation: a case report.Clinical journal of gastroenterology · 2023Article
- Hepatic Portal Venous Gas: A Potentially Lethal Sign Demanding Urgent Management.The American journal of case reports · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHepatic portal venous gas (HPVG) is a rare clinical condition that is caused by a variety of underlying diseases. However, the factors that would permit accurate identification of bowel ischemia, requiring surgery, in patients with HPVG have not been fully investigated.
methodsThirty patients that had been diagnosed with HPVG using computed tomography between 2010 and 2019 were allocated to two groups on the basis of clinical and intraoperative findings: those with (Group 1; n = 12 [40%]) and without (Group 2; n = 18 [60%]) bowel ischemia. Eleven patients underwent emergency surgery, and bowel ischemia was identified in eight of these (73%). Four patients in Group 1 were diagnosed with bowel ischemia, but treated palliatively because of their general condition. We compared the characteristics and outcomes of Groups 1 and 2 and identified possible prognostic factors for bowel ischemia.
resultsAt admission, patients in Group 1 more commonly showed the peritoneal irritation sign, had lower base excess, higher lactate, and higher C-reactive protein, and more frequently had comorbid intestinal pneumatosis. Of the eight bowel ischemia surgery patients, four (50%) died, mainly because of anastomotic leak following bowel resection and primary anastomosis (3/4, 75%). All except one patient in Group 2, who presented with aspiration pneumonia, responded better to treatment.
conclusionsEarlier identification and grading of bowel ischemia according to the findings at admission should benefit patients with HPVG by reducing the incidence of unnecessary surgery and increasing the use of safer procedures, such as prophylactic stoma placement.
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