Interventional methods in diagnosis and therapy of portal hypertension

Abstract

During the development of PH is the patient paradoxically endangered by bleeding from the gastrooesophageal varices more than by impaired liver function. Bleeding could even be the first sign of portal hypertension with a risk up to 30 % in mortality.

Oesophageal varices comprise about 50 % of cases of liver cirrhosis. Most of them bleed during increased portosystemic gradient above 12 mm Hg.

During PH there could be 30 ? 50 % of non-variceal bleeding, either from erosions from the stomach lining or during portal gastropathy (endoscopic image of a mosaic on the stomach lining).

Keywords

• Interventional
• methods
• diagnosis
• therapy
• portal
• hypertension