Management of Acute Portal Hypertensive Bleed

  • Naresh Shanmugam


  • Portal hypertension (PHT) is defined as elevation of portal pressure more than 5 mm of Hg.

  • Direct measurement of portal pressure is difficult, and so hepatic venous pressure gradient (HVPG) is measured which is reflective of portal pressure.

  • HVPG is pressure difference between wedged hepatic venous pressure (WHVP) and free hepatic venous pressure (FHVP).

  • HVPG of more than 10 mm of Hg is associated with the development of varices, and pressures more than 12 mm of Hg are associated with variceal bleed.

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Naresh Shanmugam
    • 1
  1. 1.Department of Paediatric Liver, GI and NutritionInstitute of Advanced Paediatrics, Dr. Rela Institute and Medical CentreChennaiIndia

Personalised recommendations