Complications and management of pregnancy with portal hypertension
10.3760/cma.j.cn101721-20220713-000296
- VernacularTitle:妊娠合并门静脉高压症的并发症及处理
- Author:
Junxiong WANG
1
;
Yongjun WANG
Author Information
1. 首都医科大学附属北京友谊医院消化内科 消化疾病癌前病变北京市重点实验室国家消化系统疾病临床医学研究中心，北京 100050
- Keywords:
Pregnancy;
Portal hypertension;
Complications;
Multidisciplinary Collaboration;
Risk stratification
- From:
Clinical Medicine of China
2022;38(5):387-390
- CountryChina
- Language:Chinese
-
Abstract:
Infertility in women with cirrhosis is overcome with the help of modern assisted conception techniques and systemic liver disease treatment. Hemodynamic changes during pregnancy are necessary to meet fetal growth needs, but can exacerbate portal hypertension, which can lead to life-threatening complications, such as esophagogastric varices bleeding and liver failure. Therefore, the complex clinical dilemma of pregnancy with portal hypertension presents us with a special challenge. Complications of portal hypertension during pregnancy mainly include esophagogastric varices bleeding and liver failure. Prepregnancy counseling and risk prediction scores can reduce the incidence of complications. At the same time, endoscopic treatment is currently recognized as the first-line treatment for esophageal and gastric variceal bleeding.
