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- W2800027151 endingPage "533" @default.
- W2800027151 startingPage "533" @default.
- W2800027151 abstract "<ns4:p>Portal hypertension is one cause and a part of a dynamic process triggered by chronic liver disease, mostly induced by alcohol or incorrect nutrition and less often by viral infections and autoimmune or genetic disease. Adequate staging - continuously modified by current knowledge - should guide the prevention and treatment of portal hypertension with defined endpoints. The main goals are interruption of etiology and prevention of complications followed, if necessary, by treatment of these. For the past few decades, shunts, mostly as intrahepatic stent bypass between portal and hepatic vein branches, have played an important role in the prevention of recurrent bleeding and ascites formation, although their impact on survival remains ambiguous. Systemic drugs, such as non-selective beta-blockers, statins, or antibiotics, reduce portal hypertension by decreasing intrahepatic resistance or portal tributary blood flow or by blunting inflammatory stimuli inside and outside the liver. Here, the interactions among the gut, liver, and brain are increasingly examined for new therapeutic options. There is no general panacea. The interruption of initiating factors is key. If not possible or if not possible in a timely manner, combined approaches should receive more attention before considering liver transplantation.</ns4:p>" @default.
- W2800027151 created "2018-05-17" @default.
- W2800027151 creator A5025623640 @default.
- W2800027151 creator A5029282864 @default.
- W2800027151 creator A5030752242 @default.
- W2800027151 date "2018-05-02" @default.
- W2800027151 modified "2023-09-27" @default.
- W2800027151 title "Managing portal hypertension in patients with liver cirrhosis" @default.
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