de Franchis Roberto, Dell'Era Alessandra
Gastroenterology Unit, Department of Clinical and Biomedical Sciences, Luigi Sacco University Hospital, University of Milan, Via G. B. Grassi 74, Milan 20157, Italy.
Gastroenterology Unit, Department of Clinical and Biomedical Sciences, Luigi Sacco University Hospital, University of Milan, Via G. B. Grassi 74, Milan 20157, Italy.
Clin Liver Dis. 2014 May;18(2):293-302. doi: 10.1016/j.cld.2013.12.002. Epub 2014 Feb 25.
Assessing the presence of clinically significant portal hypertension and esophageal varices is clinically important in cirrhosis. The reference standard techniques to assess the presence of portal hypertension and varices are the measurement of the hepatic vein pressure gradient and esophagogastroduodenoscopy, respectively. Some newer methods have shown a good performance, but none has been proven precise enough to replace hepatic vein pressure gradient measurement or esophagogastroduodenoscopy for the diagnosis of portal hypertension or the presence and grade of esophageal varices.
评估临床上显著门静脉高压症和食管静脉曲张的存在情况在肝硬化患者中具有重要的临床意义。评估门静脉高压症和静脉曲张存在情况的参考标准技术分别是肝静脉压力梯度测量和食管胃十二指肠镜检查。一些较新的方法已显示出良好的性能，但尚无一种方法被证明足够精确，能够替代肝静脉压力梯度测量或食管胃十二指肠镜检查来诊断门静脉高压症或食管静脉曲张的存在及分级。
