Surveillance for portal hypertension in the course of liver cirrhosis

Anna Piekarska; Ewa K. Berkan; Kamila M. Wójcik

doi:10.5114/ceh.2018.75954

eISSN: 2449-8238
ISSN: 2392-1099

Clinical and Experimental Hepatology

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abstract:

Review paper

Surveillance for portal hypertension in the course of liver cirrhosis

Anna Piekarska

,

Ewa K. Berkan

,

Kamila M. Wójcik

Clin Exp HEPATOL 2018; 4, 2: 49-54

DOI: https://doi.org/10.5114/ceh.2018.75954

Online publish date: 2018/05/25

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Non-invasive liver fibrosis assessment techniques are under development for evaluating the severity of liver disease and portal hypertension. The paper presents practical arrangements for the diagnosis and treatment of portal hypertension in patients with chronic liver disease, established in the Baveno VI Consensus Workshop for diagnosis and treatment of portal hypertension. Currently, the diagnostic standard of liver disease severity is transient elastography, which can identify patients with clinically significant portal hypertension (liver stiffness > 20 kPa). The paper presents the eligibility criteria for endoscopy and the principle of repeating the assessment of oesophageal varices. It also describes the primary and secondary prevention of gastroesophageal haemorrhage, the treatment of oesophageal bleeding and the treatment of liver vessel thrombosis.

keywords:

Surveillance for portal hypertension in the course of liver cirrhosis

Anna Piekarska , Ewa K. Berkan , Kamila M. Wójcik

portal hypertension, liver cirrhosis, transient elastography, endoscopy, oesophageal varices, gastrointestinal bleeding

Anna Piekarska

,

Ewa K. Berkan

,

Kamila M. Wójcik