RESEARCH PAPER
Invasive measurement of portal hypertension in the hemodynamics laboratory as an important element of qualification for the treatment of esophageal varices: A single-center experience
 
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1
Department of Cardiology, Voivodal Specialist Hospital in Olsztyn, Poland
2
Department of Cardiology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
3
Department of Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
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Department of Gastroenterology, Voivodal Specialist Hospital in Olsztyn, Poland
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Department of Anaesthesiology and Intensive Care, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
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Clinical Department of Anaesthesiology and Intensive Care, Voivodal Specialist Hospital in Olsztyn, Poland
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Emergency Medicine Department, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
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Clinical Emergency Department, Voivodal Specialist Hospital in Olsztyn, Poland
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Department of Invasive Cardiology, Centre of Postgraduate Medical Education, Warsaw, Poland
CORRESPONDING AUTHOR
Jacek Bil   

Voivodal Specialist Hospital, Żołnierska 18, 10-561 Olsztyn, Poland. Tel. +4889 538 64 23.
Submission date: 2020-12-28
Final revision date: 2021-03-30
Acceptance date: 2021-03-30
Online publication date: 2021-04-21
Publication date: 2021-04-21
 
Pol. Ann. Med. 2021;28(1):57–61
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The measurement of hepatic venous pressure gradient (HVPG) is an essential prognostic factor in subjects with chronic liver disorders.

Aim:
The present study aimed to present the feasibility and applicability of HVPG in the modern hemodynamics laboratory in patients with liver cirrhosis as a stage for qualification in variceal band ligation (VBL).

Material and methods:
We included 78 patients with liver cirrhosis and esophageal varices, who had HVPG measurements taken at the hemodynamics laboratory between January 2015 and January 2019.

Results and discussion:
The mean age was 55.5 ± 10.9 years, and 66.7% were males. The most common cause of liver cirrhosis was alcohol abuse (65.4%), and the most common varices stage was 3 (83.3%). The mean HVPG was 16.3 ± 6.2 mm Hg. In total, 67 (85.9%) patients had HVPG over 10 mm Hg and underwent VBL. No periprocedural complications were observed. At 12 months, recurrent hospitalizations were observed in 67 (85.9%), 5 (6.4%)had cirrhosis-related bleeding episodes, and 4 (5.1%) patients died.

Conclusions:
HVPG measurement is a feasible, safe and reproducible procedure that provides valuable diagnostic/prognostic information and helps make therapeutic decisions. This procedure can be done quickly in the modern hemodynamics laboratory.

CONFLICT OF INTEREST
None declared.
FUNDING
None declared.
 
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