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Updated: Aug 15, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
The management of portal hypertension
Juan G Abraldes1, Bernhard Angermayr, Jaime Bosch
1Hepatic Hemodynamic Laboratory, Liver Unit, ICMDM, Hospital Clinic, IDIBAPS, University of Barcelona, Villaroel 170 08036, Barcelona, Spain.
Insights
Portal hypertension, a common cirrhosis complication, leads to severe outcomes. This review covers current and future treatments for managing this condition and its lethal effects.
Area of Science:
- Hepatology
- Gastroenterology
- Internal Medicine
Background:
- Portal hypertension is a frequent and serious complication of cirrhosis.
- It significantly contributes to mortality and the need for liver transplantation in cirrhotic patients.
Purpose of the Study:
- To review current treatment strategies for portal hypertension.
- To discuss emerging therapies for managing portal hypertension and its complications.
Main Methods:
- Literature review of existing and investigational treatments for portal hypertension.
- Analysis of treatment efficacy and safety profiles.
Main Results:
- Current treatments aim to reduce portal pressure and prevent complications.
- Future therapies may offer improved outcomes and novel approaches to management.
Conclusions:
- Effective management of portal hypertension is crucial for improving survival in cirrhosis.
- Ongoing research promises advancements in therapeutic options for this challenging condition.
Abstract:
Portal hypertension is an almost unavoidable complication of cirrhosis, and it is responsible for the more lethal complications of this syndrome. Appearance of these complications represents the major cause of death and liver transplantation in patients who have cirrhosis. This article highlights treatment modalities in use for managing portal hypertension and those that may be available in the future.
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