Can Non-Invasive Methods Be Clinically Useful for Diagnosis and Severity of Portal Hypertension? Article Swipe
Ana Petrişor
,
Răzvan Peagu
,
Dumitru Cristinel Badiu
,
Ana Maria Alexandra Stănescu
,
Alexandru Constantin Moldoveanu
,
Carmen Fierbințeanu Braticevici
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.5812/hepatmon.99974
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.5812/hepatmon.99974
Context: Current gold standard methods of diagnosing portal hypertension (endoscopy and hepatic vein pressure gradient) are not only invasive but also very expensive. Consequently, new non-invasive methods have been studied over the years to assess their Applicability in replacing current invasive procedures. This review explores the current use of abdominal ultrasonography, Doppler ultrasonography, contrast-enhanced ultrasonography, various elastography techniques, computed tomography, and magnetic resonance imaging in evaluating portal hypertension while exploring their advantages and disadvantages. Evidence Acquisition: We gathered data from international papers published in Pubmed/Medline, Cochrane Library, Google Scholar, Web of Science, Wiley Online Library, and Research Gate databases until October 2019. Papers analyzing the associations between non-invasive tests and either portal hypertension or its complications were included in the study. Results: Liver stiffness (LS) and spleen stiffness (SS), regardless of the used elastography method, have shown promising results, with liver stiffness already included in current guidelines to avoid screening endoscopy. Overall, the results suggest that SS is superior to LS for screening for portal hypertension and the presence of EV, but there is a need for additional studies to certify the data and further evaluate which would provide the most accurate assessment and if other parameters need to be included to better diagnose portal hypertension. Conclusions: Liver stiffness and spleen stiffness are the best currently available methods of detecting portal hypertension but require further research. They may reduce the number of hepatic vein pressure gradient measurements and endoscopies needed for the diagnosis and follow-up of patients with portal hypertension in the future.
Related Topics
Concepts
Medicine
Portal hypertension
Elastography
Context (archaeology)
Radiology
Gold standard (test)
Cochrane Library
MEDLINE
Transient elastography
Ultrasonography
Endoscopy
Portal venous pressure
Meta-analysis
Internal medicine
Ultrasound
Cirrhosis
Biopsy
Biology
Law
Liver biopsy
Political science
Paleontology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5812/hepatmon.99974
- https://brieflands.com/articles/hepatmon-99974.pdf
- OA Status
- diamond
- Cited By
- 1
- References
- 86
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3033355716
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3033355716Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.5812/hepatmon.99974Digital Object Identifier
- Title
-
Can Non-Invasive Methods Be Clinically Useful for Diagnosis and Severity of Portal Hypertension?Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-06-02Full publication date if available
- Authors
-
Ana Petrişor, Răzvan Peagu, Dumitru Cristinel Badiu, Ana Maria Alexandra Stănescu, Alexandru Constantin Moldoveanu, Carmen Fierbințeanu BraticeviciList of authors in order
- Landing page
-
https://doi.org/10.5812/hepatmon.99974Publisher landing page
- PDF URL
-
https://brieflands.com/articles/hepatmon-99974.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://brieflands.com/articles/hepatmon-99974.pdfDirect OA link when available
- Concepts
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Medicine, Portal hypertension, Elastography, Context (archaeology), Radiology, Gold standard (test), Cochrane Library, MEDLINE, Transient elastography, Ultrasonography, Endoscopy, Portal venous pressure, Meta-analysis, Internal medicine, Ultrasound, Cirrhosis, Biopsy, Biology, Law, Liver biopsy, Political science, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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86Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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