title: Hepatic venous pressure gradient measurement before TIPS for acute variceal bleeding.
abstract: 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.
authors: Xing-Shun Qi, Dai-Ming Fan, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an, 710032, Shaanxi Province, China.
authors: Xing-Shun
authors: XS
authors: Qi
authors: Xing-Shun Qi, Dai-Ming Fan, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an, 710032, Shaanxi Province, China.
authors: Dai-Ming
authors: DM
authors: Fan
mesh_terms: D004932:Esophageal and Gastric Varices / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D019168:Portasystemic Shunt, Transjugular Intrahepatic
keywords: Acute variceal bleeding; Hepatic venous pressure gradient; Liver cirrhosis; Transjugular intrahepatic portosystemic shunt