Hepatic Venous Pressure Gradient : Worth Another Look ?

  • Parikh S
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Abstract

Portal hypertension is one of the most important complications of chronic liver disease and accounts for significant morbidity and mortality. Measurement of the hepatic venous pressure gradient (HVPG) is a simple, invasive, and reproducible method of assessing portal venous pressure. Measurement of HVPG provides the clinician an estimate of the degree of intrahepatic portal flow resistance, guides therapy for variceal bleeding (primary and secondary prophylaxis), assesses feasibility of resection in patients with hepatocellular cancer, and predicts response to therapy of patients with chronic hepatitis C. Achieving hemodynamic targets of reducing the HVPG to

Author-supplied keywords

  • Esophageal and Gastric Varices
  • Esophageal and Gastric Varices: complications
  • Hemorrhage
  • Hemorrhage: complications
  • Humans
  • Hypertension
  • Liver
  • Liver Cirrhosis
  • Liver Cirrhosis: complications
  • Liver: blood supply
  • Portal
  • Portal: complications
  • Venous Pressure
  • cirrhosis á portal hypertension
  • function tests
  • variceal bleeding á liver
  • á

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Authors

  • Sameer Parikh

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