Degree of portal hypertension and risk of recurrent gastrointestinal bleeding in patients with cirrhosis
Jungers, M.; Hillon, P.; Lebrec, D.
Gastroenterologie Clinique et Biologique 6(4): 318-320
1982
ISSN/ISBN: 0399-8320 PMID: 6979487 Document Number: 187575
Portal hypertension, evaluated by the wedged hepatic venous pressure and by the gradient between wedged and free hepatic venous pressures, was estimated in 70 cirrhotic patients admitted for an episode of gastrointestinal bleeding. The values for the wedged hepatic venous pressure and for the gradient between wedged and free hepatic venous pressures in the 36 patients with and in the 34 patients without previous episodes of bleeding were 3.8 .+-. 0.7 and 3.9 .+-. 0.8 kPa and 2.4 .+-. 0.5 and 2.6 .+-. 0.5 kPa, respectively; the differences were not statistically significant. In the 13 patients with and in the 22 patients without recurrent bleeding during the 6 mo. of follow-up, these values were 3.9 .+-. 0.5 and 3.6 .+-. 0.7 kPa and 2.3 .+-. 0.5 and 2.5 .+-. 0.4 kPa, respectively; the differences were not statistically significant. The degree of portal hypertension cannot be taken into account for the selection of patients with a high risk of bleeding recurrence.