Chapter
Role of Portal Pressure Measurement in the Management of Complications of Cirrhosis
Historical Evolution of the Pressure Measurement Techniques
Criteria for Failure of Secondary Prophylaxis
Therapeutic Options in Patients with Portal Hypertension
Apparent Contradiction in Baveno IV
Distinction Between HVPG Monitoring for Research and Monitoring for Patient Care
New Information Available Since Baveno IV
Alternatives to HVPG Measurement
Case Studies Role of Portal Pressure Measurement in the Management of Complications of Cirrhosis
Examination and Management
Examination and Management
Examination and Management
Management of Portal Hypertensive Bleeding
Classification of Portal Hypertension
Hemodynamic Measures of Portal Hypertension
Wedged Hepatic Venous Pressure
Hepatic Vein Pressure Gradient
Natural History of Portal Hypertensive Bleeding
Diagnosis of Variceal Bleeding
Prediction of Variceal Hemorrhage
Treatment of Portal Hypertensive Bleeding
Vasopressin and its Analog Terlipressin
Somatostatin and its Analogs Octreotide and Vapreotide
Transjugular Intrahepatic Portosystemic Shunt
Indications and Contraindications of TIPS in Portal Hypertensive Bleeding
Classification of Gastric Varices
Risk Factors for Gastric Variceal Hemorrhage
Specific Management of Gastric Varices
Portal Hypertensive Gastropathy
Role of Gastric Mucosal Blood Flow in PHG
Gastric Antral Vascular Ectasia
Prevention of Esophagogastric Varices
Modalities for Primary Prophylaxis
Combination of Endoscopy and Pharmacotherapy
Case Studies Management of Portal Hypertensive Bleeding
Endoscopic Management of Portal Hypertension
Endoscopic Management of Varices
Endoscopic Variceal Ligation
Approach to Patients With Esophageal Varices
Prevention of First Variceal Hemorrhage
Endoscopic Variceal Ligation for Primary Prevention of Variceal Hemorrhage
Management of Acute Variceal Bleed
Prevention of Recurrent Variceal Bleed
Management of Gastric Variceal Bleed
Portal Hypertensive Gastropathy
Shunt Surgery in Portal Hypertension
Traditional Approach to Surgical Shunts (1970-1990)
Temporary Portacaval Shunts
Preoperative Evaluation of Patients for Shunt Surgery
TIPSS Versus Surgical Shunts
Secondary Prophylaxis or Rebleeding
Which Surgical Shunt to be Considered?
Shunt Surgery in the Era of Liver Transplantation