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Emergent TIPS for acute gastroesophageal variceal bleeding in cirrhotic patients with hepatocellular carcinoma
ObjectivesTo estimate the safety and effectiveness of emergent transjugular intrahepatic portosystemic shunt (TIPS) creation for acute variceal...
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Management of Liver Decompensation in Advanced Chronic Liver Disease: Ascites, Hyponatremia, and Gastroesophageal Variceal Bleeding
Portal hypertension is a major complication of cirrhosis characterized by a pathological hepatic venous pressure gradient (HVPG) ≥ 5 mmHg. The...
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Partial splenic embolization as a rescue and emergency treatment for portal hypertension and gastroesophageal variceal hemorrhage
BackgroundPartial splenic embolization (PSE) is a non-surgical procedure which was initially used to treat hypersplenism. Furthermore, partial...
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An interpretable artificial intelligence system for detecting risk factors of gastroesophageal variceal bleeding
Bleeding risk factors for gastroesophageal varices (GEV) detected by endoscopy in cirrhotic patients determine the prophylactical treatment patients...
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HCC portal hypertension imaging score derived from CT predicts re-bleeding and mortality after acute variceal bleeding
Background/PurposeRisk factors for re-bleeding and death after acute variceal bleeding (AVB) in cirrhotic HCC patients are not fully understood.We...
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Management of ectopic variceal bleeding with transjugular intrahepatic portosystemic shunt: a systematic review of case reports
Ectopic varices account for 5% of variceal bleedings and occur outside the gastro-esophageal region. This review evaluates the efficacy of...
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Predicting the risk of early bleeding following endoscopic variceal ligation in cirrhotic patients with computed tomography
BackgroundLife-threatening bleeding following endoscopic variceal ligation (EVL) in patients with cirrhosis rarely can occur. The present study aimed...
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Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review
BackgroundTransjugular intrahepatic portosystemic shunt (TIPS) is a well-established therapeutic option for the management of variceal hemorrhage in...
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Endoscopic variceal obturation and retrograde transvenous obliteration for acute gastric cardiofundal variceal bleeding in liver cirrhosis
Background/AimsWe retrospectively compared the effect of endoscopic variceal obturation (EVO) and retrograde transvenous obliteration (RTO) in acute...
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Variceal Bleeding: Beyond Banding
Despite advances in the management of complications of portal hypertension, variceal bleeding continues to be associated with significant morbidity...
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MELD-Lactate Predicts Poor Outcome in Variceal Bleeding in Cirrhosis
BackgroundPredictors of poor outcome associated with variceal bleeding remain suboptimal. In patients with cirrhosis, serum lactate combined with...
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Comparison of long-term outcomes of splenectomy with periesophagogastric devascularization and transjugular intrahepatic portosystemic shunt in treating cirrhotic portal hypertension patients with recurrent variceal bleeding
PurposeTransjugular intrahepatic portosystemic shunt (TIPS) and splenectomy with periesophagogastric devascularization (SPD) are widely used to treat...
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Hepatic artery diameter predicts bleeding risk after gastroesophageal varices treatment: a contrast-enhanced CT study
ObjectivePortal hypertension leads to hepatic artery dilatation and a higher risk of bleeding. We tried to identify the bleeding risk after...
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An imaging-based machine learning model outperforms clinical risk scores for prognosis of cirrhotic variceal bleeding
ObjectivesTo develop and validate a machine learning model based on contrast-enhanced CT to predict the risk of occurrence of the composite clinical...
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Prognosis of LSPD versus TIPS for the treatment of esophagogastric variceal bleeding in cirrhosis
BackgroundThis study aimed to compare postoperative complications in patients with esophagogastric variceal bleeding (EVB) who underwent laparoscopic...
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Machine learning-based model for predicting the esophagogastric variceal bleeding risk in liver cirrhosis patients
BackgroundLiver cirrhosis patients are at risk for esophagogastric variceal bleeding (EGVB). Herein, we aimed to estimate the EGVB risk in patients...
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Automated Multimodal Machine Learning for Esophageal Variceal Bleeding Prediction Based on Endoscopy and Structured Data
Esophageal variceal (EV) bleeding is a severe medical emergency related to cirrhosis. Early identification of cirrhotic patients with at a high risk...
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Survival outcomes of patients with concomitant acute variceal bleeding and acute coronary syndrome, and the role of antiplatelet agents: an institutional experience from a lower middle-income Country
BackgroundThere is strong evidence demonstrating the incidence of Acute Coronary Syndrome (ACS) among patients with cirrhosis, with the initiation of...
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Comparing the predictive ability of portoatrial and portocaval gradient after transjugular intrahepatic portosystemic shunt creation for variceal rebleeding
BackgroundMeasuring the portal pressure gradient from the portal vein (PV) to the inferior vena cava (IVC) or to the right atrium (RA) remains...
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Pathophysiology and Management of Variceal Bleeding
Cirrhosis is the fifth leading cause of death in adults. Advanced cirrhosis can cause significant portal hypertension (PH), which is responsible for...
