Related Experiment Video
Updated: Nov 21, 2025

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Twitter debate: controversies in the management of portal hypertension
William Chung1, James Maurice1,2, David Patch1
1The Royal Free Sheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, Hampstead, London, UK.
Abstract:
The latest 'Controversies in…' series for the Frontline Gastroenterology Twitter debates addressed the challenges of managing patients with portal hypertension, facilitated by Hepatologist and Liver Transplant physician Dr David Patch from the Royal Free London. Key topics discussed include basic principles of managing a patient with variceal bleeding, techniques for treating oesophageal and ectopic varices, pitfalls of vasoactive therapy, indications for transjugular intrahepatic portosystemic shunt, and a brief discussion of portal vein thrombosis. This article aims to summarise key areas of discussion from the event.
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