临床肝胆病杂志2024，Vol.40Issue(1)：33-36,4.DOI:10.12449/JCH240106
《2023年美国肝病学会实践指南:肝硬化门静脉高压和静脉曲张的风险分层及管理》摘译
An excerpt of AASLD practice guidance on risk stratification and management of portal hypertension and varices in cirrhosis(2023)
雒博晗 1韩国宏1
作者信息
- 1. 西安国际医学中心医院消化内科,西安 710100
- 折叠
摘要
Abstract
This Practice Guidance intends to coalesce best practice recommendations for the identification of portal hypertension(PH),for prevention of initial hepatic decompensation,for the management of acute variceal hemorrhage(AVH),and for reduction of the risk of recurrent variceal hemorrhage in chronic liver disease.The most significant changes in the current Guidance relate to recognition of the concept of compensated advanced chronic liver disease,codification of methodology to use noninvasive assessments to identify clinically significant PH(CSPH),and endorsement of a change in paradigm with the recommendation of early utilization of nonselective beta-blocker therapy when CSPH is identified.The updated guidance further explores potential future pharmacotherapy options for PH,clarifies the role of preemptive transjugular intrahepatic portosystemic shunt in AVH,discusses more recent data related to the management of cardiofundal varices,and addresses new topics such as portal hypertensive gastropathy and endoscopy prior to transesophageal echocardiography and antineoplastic therapy.关键词
肝硬化/门静脉高压/食管和胃静脉曲张/美国Key words
Liver Cirrhosis/Portal Hypertension/Esophageal and Gastric Vorrices/United States引用本文复制引用
雒博晗,韩国宏..《2023年美国肝病学会实践指南:肝硬化门静脉高压和静脉曲张的风险分层及管理》摘译[J].临床肝胆病杂志,2024,40(1):33-36,4.
