Primary and Secondary Prophylaxis of Esophageal Variceal Bleeding

Cirrhosis is a chronic condition with high mortality. Portal hypertension (PH) is the initial and main consequence of cirrhosis and is responsible for the majority of its complications, including esophageal varices. It has been shown that portal pressure determined by the hepatic venous pressure gradient (HVPG) is better than liver biopsy in predicting development of complications of cirrhosis in patients with chronic liver disease without cirrhosis on liver biopsy. An HVPG greater than 5mmHg defines PH.

Source: Techniques in Gastrointestinal Endoscopy - March 24, 2017 Category: Gastroenterology Authors: Parastoo Jangouk, Guadalupe Garcia-Tsao Tags: SI: Management of Variceal GI Bleeding Source Type: research