The complications associated with portal hypertension in cirrhosis are the main cause of death in patients with cirrhosis. The level of portal venous pressure is closely related to the prognosis of patients. HVPG (hepatic venous pressure gradient) is the "gold standard" for predicting portal venous pressure and an important indicator for evaluating the efficacy of NSBBS. However, monitoring HVPG has many limitations,and the clinical application is also limited to a certain extent. Therefore, this study intends to clarify the guiding value of monitoring portal venous pressure in the clinical diagnosis and treatment of portal hypertension patients through a single-center, prospective and observational study. Therefore, this study intends to clarify the guiding value of monitoring portal venous pressure in the clinical diagnosis and treatment of portal hypertension patients through a single-center, prospective and observational study. At the same time, to explore the correlation between HVPG and PPG in cirrhosis patients at different stages and different etiologies, and to evaluate the role of spleen stiffness in predicting the severity of esophageal and gastric varices in patients with portal hypertension, and to find biomarkers to predict the risk of complications related to portal hypertension.
Study Type
OBSERVATIONAL
Enrollment
200
measuring portal pressure gradient or hepatic venous pressure gradient regularly
Nanfang Hospital
Guangzhou, Guangdong, China
RECRUITINGGastroesophageal varices bleeding
Patients with gastroesophageal varices has hematemesis or melena, and active bleeding or red sign can be seen under endoscopy
Time frame: three years
Ascites
Peritoneal effusion was seen under ultrasound
Time frame: three years
Hepatic encephalopathy
Patients with altered consciousness or unresponsiveness, accompanied by elevated blood ammonia
Time frame: three years
Death or final follow-up time (3 years)
Time frame: three years
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