Hepatic hemodynamic study: More than just HVPG measurement

IF 2.2 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY Gastroenterologia y hepatologia Pub Date : 2024-02-01 DOI:10.1016/j.gastrohep.2023.03.007
Olga Ortega-Lobete , Ana Clemente-Sánchez , Rafael Bañares , Diego Rincón
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引用次数: 0

Abstract

Evaluation and staging of liver disease is essential in the clinical decision-making process of liver tumors. The severity of portal hypertension (PH) is the main prognostic factor in advanced liver disease. Performing an accurate hepatic venous pressure gradient (HVPG) measurement is not always possible, especially when veno-venous communications are present. In those complex cases, a refinement in HVPG measurement with a thorough evaluation of each of the components of PH is mandatory. We aimed at describing how some technical modifications and complementary procedures may contribute to an accurate and complete clinical evaluation to improve therapeutic decisions.

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肝脏血液动力学研究:不仅仅是 HVPG 测量
肝脏疾病的评估和分期对于肝脏肿瘤的临床决策过程至关重要。门静脉高压(PH)的严重程度是晚期肝病的主要预后因素。进行准确的肝静脉压力梯度(HVPG)测量并非总是可行,尤其是在存在静脉-静脉沟通的情况下。在这些复杂的病例中,必须通过全面评估 PH 的各个组成部分来改进 HVPG 测量。我们旨在介绍一些技术改进和辅助程序如何有助于进行准确、全面的临床评估,从而改进治疗决策。
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来源期刊
Gastroenterologia y hepatologia
Gastroenterologia y hepatologia GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
1.50
自引率
10.50%
发文量
147
审稿时长
48 days
期刊介绍: Gastroenterology and Hepatology is the first journal to cover the latest advances in pathology of the gastrointestinal tract, liver, pancreas, and bile ducts, making it an indispensable tool for gastroenterologists, hepatologists, internists and general practitioners.
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