Value of hepatic venous pressure gradient in preoperative evaluation and prognosis prediction in liver transplant recipients
10.3969/j.issn.1674-7445.2023.01.021
- VernacularTitle:肝静脉压力梯度对肝移植受者术前评估及预后预测的价值
- Author:
Pengfei ZHANG
1
;
Yajie CHEN
;
Jinglin CAO
;
Caiyan ZHAO
;
Yang WANG
;
Jian DOU
Author Information
1. Department of Hepatobiliary Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
- Publication Type:Research Article
- Keywords:
Hepatic venous pressure gradient;
Model for end-stage liver disease (MELD);
Liver transplantation;
Cirrhosis;
Portal hypertension;
Esophageal and gastric varices;
Transjugular intrahepatic portosystemic shunt;
Hepatitis C virus
- From:
Organ Transplantation
2023;14(1):154-
- CountryChina
- Language:Chinese
-
Abstract:
Hepatic venous pressure gradient (HVPG) is the "gold standard" for the diagnosis of portal hypertension, which could be applied in the evaluation of liver cirrhosis. Combined use of HVPG with model for end-stage liver disease (MELD) scoring system may more accurately match the donors and recipients undergoing liver transplantation for liver cirrhosis, select the appropriate timing of surgery, and provide guidance for bridging treatment for patients on the waiting list for liver transplantation. Besides, HVPG may also predict clinical prognosis of liver transplant recipients, and provide evidence for early detection and intervention of potential complications. Therefore, the value of HVPG in preoperative evaluation and prognosis prediction of liver transplant recipients was reviewed, aiming to provide guidance for clinical diagnosis and treatment of liver transplant recipients before and after surgery.
