Risk Stratification with Noninvasive Tools in Patients with Compensated Cirrhosis

Risk Stratification with Noninvasive Tools in Patients with Compensated Cirrhosis Curr Hepatology Rep (2017) 16:228–236 DOI 10.1007/s11901-017-0357-7 PORTAL HYPERTENSION (J ABRALDES AND E TSOCHATZIS, SECTION EDITORS) Risk Stratification with Noninvasive Tools in Patients with Compensated Cirrhosis 1 1,2 1,2 Mònica Pons & Salvador Augustin & Joan Genescà Published online: 11 July 2017 Springer Science+Business Media, LLC 2017 Abstract Keywords Compensated advanced chronic liver disease . . . Purpose of Review The main goal of the present review is to Portal hypertension Transient elastography Varices summarize current strategies to predict the presence of clini- Noninvasive diagnosis Liver decompensation cally significant portal hypertension (CSPH), varices, and de- compensation with noninvasive methods, mainly focusing in transient elastography (TE) which is the most validated tool. Introduction Recent Findings TE has demonstrated to predict the presence of CSPH. Values >20–25 kPa rule in the presence of CSPH Liver cirrhosis is the end-stage of chronic liver diseases and is with a probability >90%. On the other hand, when combined associated with a high morbimortality. Prognosis and devel- with platelet count, TE has been shown to rule out the pres- opment of complications are directly related to the cirrhosis ence of high-risk varices. In fact, patients with compensated stage. There is first an asymptomatic phase, named http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Hepatology Reports Springer Journals

Risk Stratification with Noninvasive Tools in Patients with Compensated Cirrhosis

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Publisher
Springer US
Copyright
Copyright © 2017 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Hepatology
eISSN
2195-9595
D.O.I.
10.1007/s11901-017-0357-7
Publisher site
See Article on Publisher Site

Abstract

Curr Hepatology Rep (2017) 16:228–236 DOI 10.1007/s11901-017-0357-7 PORTAL HYPERTENSION (J ABRALDES AND E TSOCHATZIS, SECTION EDITORS) Risk Stratification with Noninvasive Tools in Patients with Compensated Cirrhosis 1 1,2 1,2 Mònica Pons & Salvador Augustin & Joan Genescà Published online: 11 July 2017 Springer Science+Business Media, LLC 2017 Abstract Keywords Compensated advanced chronic liver disease . . . Purpose of Review The main goal of the present review is to Portal hypertension Transient elastography Varices summarize current strategies to predict the presence of clini- Noninvasive diagnosis Liver decompensation cally significant portal hypertension (CSPH), varices, and de- compensation with noninvasive methods, mainly focusing in transient elastography (TE) which is the most validated tool. Introduction Recent Findings TE has demonstrated to predict the presence of CSPH. Values >20–25 kPa rule in the presence of CSPH Liver cirrhosis is the end-stage of chronic liver diseases and is with a probability >90%. On the other hand, when combined associated with a high morbimortality. Prognosis and devel- with platelet count, TE has been shown to rule out the pres- opment of complications are directly related to the cirrhosis ence of high-risk varices. In fact, patients with compensated stage. There is first an asymptomatic phase, named

Journal

Current Hepatology ReportsSpringer Journals

Published: Jul 11, 2017

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