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晚期慢性肝病门静脉高压的无创评估:最新进展

Noninvasive Assessment of Portal Hypertension in Advanced Chronic Liver Disease: An Update.

作者信息

Ravaioli Federico, Montagnani Marco, Lisotti Andrea, Festi Davide, Mazzella Giuseppe, Azzaroli Francesco

机构信息

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.

Gastroenterology Unit, Ospedale S. Maria della Scaletta, Imola, Italy.

出版信息

Gastroenterol Res Pract. 2018 Jun 7;2018:4202091. doi: 10.1155/2018/4202091. eCollection 2018.

Abstract

The assessment of portal hypertension is a relevant step in the evaluation of newly diagnosed advanced chronic liver disease (ACLD). The current gold standard includes the invasive evaluation of hepatic venous pressure gradient (HVPG) and endoscopy. However, noninvasive or minimally invasive techniques to assess portal hypertension have been proposed and well established. In the present manuscript, we review clinical studies on the use of noninvasive or minimally invasive techniques to assess portal hypertension in ACLD patients.

摘要

门静脉高压的评估是新诊断的晚期慢性肝病(ACLD)评估中的一个重要步骤。目前的金标准包括肝静脉压力梯度(HVPG)的侵入性评估和内镜检查。然而,已经提出并确立了评估门静脉高压的非侵入性或微创技术。在本手稿中,我们回顾了关于使用非侵入性或微创技术评估ACLD患者门静脉高压的临床研究。

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