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10.3109/07853890.2013.857831 http://scihub22266oqcxt.onion/10.3109/07853890.2013.857831 C4904298!4904298 !24328372     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=24328372 &cmd=llinks): Failed to open stream: HTTP request failed! 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Invasive and non-invasive techniques for detecting portal hypertension and predicting variceal bleeding in cirrhosis: a review |pdf=|usr=}}{{24328372 }} gab.com Text Invasive and non-invasive techniques for detecting portal hypertension and predicting variceal bleeding in cirrhosis: a review JO: Ann Med http://www.kidney.de/pget.php?&tw=1&pmid=24328372 #FOAvip Portal hypertension is a severe syndrome that may derive from pre-sinusoidal, sinusoidal, and post-sinusoidal causes. As a consequence, several complications (i.e. ascites, oesophageal varices) may develop. In sinusoidal portal hypertension, hepatic venous pressure gradient (HVPG) is a reliable method for defining the grade of portal pressure, establishing the effectiveness of the treatment, and predicting the occurrence of complications; however, some questions exist regarding its ability to discriminate bleeding from non-bleeding varices in cirrhotic patients. Other imaging techniques (transient elastography, endoscopy, endosonography, and duplex Doppler sonography) for assessing causes and complications of portal hypertensive syndrome are available and may be valuable for the management of these patients. In this review, we evaluate invasive and non-invasive techniques currently employed to obtain a clinical prediction of deadly complications, such as variceal bleeding in patients affected by sinusoidal portal hypertension, in order to create a diagnostic algorithm to manage them. Again, HVPG appears to be the reference standard to evaluate portal hypertension and monitor the response to treatment, but its ability to predict several complications and support management decisions might be further improved through the diagnostic combination with other imaging techniques. Twit Text FOAVip Invasive and non-invasive techniques for detecting portal hypertension and predicting variceal bleeding in cirrhosis: a review ????Ann Med http://www.kidney.de/pget.php?&tw=1&pmid=24328372 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=24328372 #FOAvip English Wikipedia <ref>{{Cite pmid|24328372 }}</ref> Invasive and non-invasive techniques for detecting portal hypertension and predicting variceal bleeding in cirrhosis: a review #MMPMID24328372 Zardi EM ; Di Matteo FM ; Pacella CM ; Sanyal AJ Ann Med 2014[Feb]; 46 (1 ): 8-17 PMID24328372 show ga Portal hypertension is a severe syndrome that may derive from pre-sinusoidal, sinusoidal, and post-sinusoidal causes. As a consequence, several complications (i.e. ascites, oesophageal varices) may develop. In sinusoidal portal hypertension, hepatic venous pressure gradient (HVPG) is a reliable method for defining the grade of portal pressure, establishing the effectiveness of the treatment, and predicting the occurrence of complications; however, some questions exist regarding its ability to discriminate bleeding from non-bleeding varices in cirrhotic patients. Other imaging techniques (transient elastography, endoscopy, endosonography, and duplex Doppler sonography) for assessing causes and complications of portal hypertensive syndrome are available and may be valuable for the management of these patients. In this review, we evaluate invasive and non-invasive techniques currently employed to obtain a clinical prediction of deadly complications, such as variceal bleeding in patients affected by sinusoidal portal hypertension, in order to create a diagnostic algorithm to manage them. Again, HVPG appears to be the reference standard to evaluate portal hypertension and monitor the response to treatment, but its ability to predict several complications and support management decisions might be further improved through the diagnostic combination with other imaging techniques. |Elasticity Imaging Techniques [MESH] |Endoscopy [MESH] |Forecasting/methods [MESH] |Hepatic Veins/physiopathology [MESH] |Humans [MESH] |Hypertension, Portal/*diagnosis/etiology/physiopathology [MESH] |Liver Cirrhosis/*complications/diagnosis/physiopathology [MESH] |Ultrasonography, Doppler [MESH]Invasive and non-invasive techniques for detecting portal hypertension(epmc).pdf DeepDyve Pubget Overpricing