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Updated: Jul 13, 2026

Invasive Hemodynamic Characterization of the Portal-hypertensive Syndrome in Cirrhotic Rats
Published on: August 1, 2018
Portal hypertension: review of data and influence on management
G C Caletti1, A Ferrari, P Bocus
1Department of Medicine and Gastroenterology, University of Bologna, Italy.
Insights
Endoscopic ultrasonography (EUS) can help select the best treatment for portal hypertension by visualizing the portal venous system. More research is needed to confirm EUS
Area of Science:
- Gastroenterology and Hepatology
- Medical Imaging
Background:
- Portal hypertension management requires individualized treatment strategies.
- Current treatment selection may not be optimal for all patients, leading to treatment failure.
- The portal venous system and its collaterals are critical in portal hypertension.
Purpose of the Study:
- To evaluate the clinical utility of endoscopic ultrasonography (EUS) in guiding treatment selection for portal hypertension.
- To assess the role of EUS in visualizing the portal venous system and its collaterals for patient management.
Main Methods:
- Endoscopic ultrasonography (EUS) was utilized to visualize the portal venous system and associated collaterals.
- Clinical data and treatment outcomes were considered in relation to EUS findings.
Main Results:
- EUS allows simultaneous visualization of the portal venous system and collaterals.
- This visualization has significant potential for selecting appropriate treatments for individual patients.
- The suitability of treatments varies among patients with portal hypertension.
Conclusions:
- Endoscopic ultrasonography shows promise in optimizing treatment selection for portal hypertension.
- Further prospective studies are essential to establish the cost-benefit of EUS in managing portal hypertension patients.
Abstract:
It is evident that endoscopic ultrasonography could have a great clinical role in the selection of the best treatment for the individual patient because it allows the simultaneous visualization of a large part of the portal venous system and its collaterals. It has not been shown that the same kind of treatment is suitable for every patient with portal hypertension, and failure of a particular treatment may be attributable to an incorrect selection of patients. Further perspective studies with EUS in patients with portal hypertension are thus necessary in order to clearly state the cost-benefit of this technique in the management of these subjects.
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