ArticleWorld journal of gastroenterology2017
Clinical role of non-invasive assessment of portal hypertension.
Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Network Meta-Analysis: Noninvasive Imaging Modalities for Identifying Clinically Significant Portal Hypertension.Digestive diseases and sciences · 2022Pooled it
- Accuracy of 2D and point shear wave elastography-based measurements for diagnosis of esophageal varices: a systematic review and meta-analysis.Diagnostic and interventional radiology (Ankara, Turkey) · 2022Pooled it
- Carvedilol versus traditional, non-selective beta-blockers for adults with cirrhosis and gastroesophageal varices.The Cochrane database of systematic reviews · 2018Pooled it
- Enhancing dromedary camel (Frontiers in veterinary science · 2026Review
- Article
- Revolutionising portal hypertension diagnosis: the rise of non-invasive techniques in liver cirrhosis.Frontiers in medicine · 2025Review
- Metabolomics reveals altered metabolites in cirrhotic patients with severe portal hypertension in Tibetan population.Frontiers in medicine · 2024Article
- The role of endoscopic ultrasound for portal hypertension in liver cirrhosis.Journal of medical ultrasonics (2001) · 2022Review
- The severity of portal hypertension by a non-invasive assessment: acoustic structure quantification analysis of liver parenchyma.BMC medical imaging · 2022Article
- [Experimental studies for noninvasive assessment of portal vein pressure based on contrast enhanced subharmonic sonographic imaging].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2020Article
- Managing liver cirrhotic complications: Overview of esophageal and gastric varices.Clinical and molecular hepatology · 2020Review
- Correlation between acoustic radiation force impulse (ARFI)-based tissue elasticity measurements and perfusion parameters acquired by perfusion CT in cirrhotic livers: a proof of principle.Journal of medical ultrasonics (2001) · 2019Article
- Clinical Assessment and Management of Portal Hypertension.Seminars in interventional radiology · 2018Review
- Beneficial long term effect of a phosphodiesterase-5-inhibitor in cirrhotic portal hypertension: A case report with 8 years follow-up.World journal of gastroenterology · 2018Article
- Noninvasive Assessment of Fibrosis Regression in Hepatitis C Virus Sustained Virologic Responders.Gastroenterology & hepatology · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Measurement of portal pressure is pivotal in the evaluation of patients with liver cirrhosis. The measurement of the hepatic venous pressure gradient represents the reference method by which portal pressure is estimated. However, it is an invasive procedure that requires significant hospital resources, including experienced staff, and is associated with considerable cost. Non-invasive methods that can be reliably used to estimate the presence and the degree of portal hypertension are urgently needed in clinical practice. Biochemical and morphological parameters have been proposed for this purpose, but have shown disappointing results overall. Splanchnic Doppler ultrasonography and the analysis of microbubble contrast agent kinetics with contrast-enhanced ultrasonography have shown better accuracy for the evaluation of patients with portal hypertension. A key advancement in the non-invasive evaluation of portal hypertension has been the introduction in clinical practice of methods able to measure stiffness in the liver, as well as stiffness/congestion in the spleen. According to the data published to date, it appears to be possible to rule out clinically significant portal hypertension in patients with cirrhosis (
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