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Hepatic venous pressure gradient measurement before TIPS for acute variceal bleeding



Hepatic venous pressure gradient measurement before TIPS for acute variceal bleeding



World Journal of Gastroenterology 20(23): 7523-7524



Hepatic venous pressure gradient (HVPG) is an independent predictor of variceal rebleeding in patients with cirrhosis. After pharmacological and/or endoscopic therapy, the use of a transjugular intrahepatic portosystemic shunt (TIPS) may be necessary in HVPG non-responders, but not in responders. Thus, HVPG measurement may be incorporated into the treatment algorithm for acute variceal bleeding, which further identifies the candidates that should undergo early insertion of TIPS or maintain the traditional pharmacological and/or endoscopic therapy. The potential benefits are to reduce the cost and prevent TIPS-related complications.

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Accession: 053515679

Download citation: RISBibTeXText

PMID: 24966625

DOI: 10.3748/wjg.v20.i23.7523



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