Measurement of hepatic venous pressure gradient in patients with active variceal bleeding
نویسندگان
چکیده
منابع مشابه
Hepatic Venous Pressure Gradient Measurement in Bangladeshi Cirrhotic Patients: A Correlation with Child’s Status, Variceal Size, and Bleeding
Background Hepatic venous pressure gradient (HVPG) reflects the portal pressure in patients with cirrhotic portal hypertension. The aim of the study was to assess the relation of HVPG to variceal size, Child-Pugh status, and variceal bleeding. Materials and methods A total of 96 patients with cirrhosis of liver were enrolled prospectively and each patient's HVPG level was measured via the tra...
متن کاملCost-effectiveness of hepatic venous pressure gradient measurements for prophylaxis of variceal re-bleeding.
BACKGROUND Measurement of the hepatic venous pressure gradient may identify a sub-optimal response to drug prophylaxis in patients with a history of variceal bleeding. However, the cost-effectiveness of routine hepatic venous pressure gradient measurements to guide secondary prophylaxis has not been examined. METHODS A Markov model was constructed using specialized software (DATA 3.5, William...
متن کاملHepatic venous pressure gradient measurement in pre-primary and primary prophylaxis of variceal hemorrhage.
Pharmacological therapy of portal hypertensión can be accomplished according to different objectives. Among them, pre-primary prophylaxis aims to avoid / delay esophageal varices development while the target of primary prophylaxis is protection against first variceal bleeding. Hepatic venous pressure gradient (HVPG) measurement closely reflects portal pressure in most liver diseases whith predo...
متن کاملHepatic venous pressure gradient measurement: time to learn!
Portal hypertension is a clinical syndrome defined by a pathological increase in portal pressure. The development of cirrhosis of the liver is characterized by clinical manifestations related to portal hypertension like esophageal varices, ascites, bleeding, and encephalopathy. Direct measurement of portal pressure is invasive, inconvenient, and clinically impractical. Currently, the most commo...
متن کاملHepatic venous pressure gradient measurements to assess response to primary prophylaxis in patients with cirrhosis: a decision analytical study.
BACKGROUND The measurement of the hepatic venous pressure gradient may identify a suboptimal response to beta-blockers in patients with varices at risk for bleeding. However, the cost-effectiveness of routine hepatic venous pressure gradient measurements to guide primary prophylaxis has not been examined. METHODS We used decision analysis to evaluate two hepatic venous pressure gradient measu...
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ژورنال
عنوان ژورنال: Hepatology
سال: 2005
ISSN: 0270-9139,1527-3350
DOI: 10.1002/hep.20545