Henning Gronbaek

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  • in reply to: Diffuse rectal, colonic and ileocecal varices #1526
    Henning Gronbaek

    Dear Juan Carlos
    We have used spleen pulp pressure measurement as a mean to determine the non-cirrotoc portal hypertension, which must be found in your patient.
    Did you perform a liver biopsy and did it reveal any changes. Despite the normal elstography there may be changes in the liver suggesting pre-sinusoidal portal hypertension. Has sarcoidosis been ruled out?
    Are liver enzymes normal?
    For treatment long-acting soamtostatin analogue may help – though evidence is scarce?
    Is the patient European? No schistosomiasis?

    Looking forward to have the diagnosis

    best wishes
    Henning Grønbæk

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