Measurement of portal pressure and its role in the management of chronic liver disease

被引:167
作者
Bosch, Jaime
Garcia-Pagan, Juan Carlos
Berzigotti, Annalisa
Abraldes, Juan G.
机构
[1] Univ Barcelona, Hosp Clin Barcelona, IDIBAPS,Liver Unit, Hepat Hemodynam Lab,Inst Malalties Digest, E-08036 Barcelona, Spain
[2] Univ Bologna, Policlin S Orsola, Dept Internal Med Hepatol & Cardioangiol, I-40138 Bologna, Italy
关键词
portal hypertension; liver cirrhosis; esophageal varices; portal pressure; hepatic venous pressure gradient;
D O I
10.1055/s-2006-951603
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Portal hypertension is a major cause of morbidity and mortality in liver cirrhosis. This article provides a background on the most important aspects of the evaluation of portal hypertension in patients with chronic liver diseases, with special attention to the measurement of portal pressure by hepatic vein catheterization. The rationale, technique, applications, costs, and limitations of measurements of the hepatic venous pressure gradient are thoroughly reviewed. Emerging, noninvasive methodologies for the evaluation of the patient with portal hypertension are also discussed.
引用
收藏
页码:348 / 362
页数:15
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