Portal vein

Portal vein
The portal vein (in light blue) and its tributaries. It is formed by the superior mesenteric vein, inferior mesenteric vein, and splenic vein. Lienal vein is an old term for splenic vein.
Details
SystemHepatic portal system
Drains fromGastrointestinal tract, spleen, pancreas
SourceSplenic vein, superior mesenteric vein, inferior mesenteric vein, pancreatic vein
Drains toLiver sinusoid
Identifiers
Latinvena portae hepatis
MeSHD011169
TA98A12.3.12.001
TA25092
FMA50735
Anatomical terminology

The portal vein or hepatic portal vein (HPV) is a blood vessel that carries blood from the gastrointestinal tract, gallbladder, pancreas and spleen to the liver. This blood contains nutrients and toxins extracted from digested contents. Approximately 75% of total liver blood flow is through the portal vein, with the remainder coming from the hepatic artery proper. 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 systems.

The portal vein is usually formed by the confluence of the superior mesenteric, splenic veins, inferior mesenteric, left, right gastric veins and the pancreatic vein.

Conditions involving the portal vein cause considerable illness and death. An important example of such a condition is elevated blood pressure in the portal vein. This condition, called portal hypertension, is a major complication of cirrhosis. In abdominal obesity fats, inflammatory cytokines and other toxic substances are transported by the portal vein from visceral fat into the liver, leading to hepatic insulin resistance and metabolic dysfunction–associated steatotic liver disease.[1][2]

  1. ^ Item F, Konrad D (2012). "Visceral fat and metabolic inflammation: the portal theory revisited" (PDF). Obesity Reviews. 13 (Suppl 2): 30–39. doi:10.1111/j.1467-789X.2012.01035.x. PMID 23107257. S2CID 25169877.
  2. ^ Dhawan D, Sharma S (2020). "Abdominal Obesity, Adipokines and Non-communicable Diseases". The Journal of Steroid Biochemistry and Molecular Biology. 203: 105737. doi:10.1016/j.jsbmb.2020.105737. PMC 7431389. PMID 32818561.

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