Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Dec 28;11(7):1565-1579.
doi: 10.14218/JCTH.2023.00061. Epub 2023 Oct 17.

Guidelines for the Management of Esophagogastric Variceal Bleeding in Cirrhotic Portal Hypertension

Affiliations

Guidelines for the Management of Esophagogastric Variceal Bleeding in Cirrhotic Portal Hypertension

Xiaoyuan Xu et al. J Clin Transl Hepatol. .

Abstract

To standardize the diagnosis, treatment, and management of esophagogastric variceal bleeding (EVB) in patients with cirrhotic portal hypertension, the Chinese Society of Hepatology, the Chinese Society of Gastroenterology, and the Chinese Society of Digestive Endoscopy of the Chinese Medical Association brought together relevant experts, reviewed the latest national and international progress in clinical research on EVB in cirrhotic portal hypertension, and followed evidence-based medicine to update the Guidelines on the Management of EVB in Cirrhotic Portal Hypertension. The guidelines provide recommendations for the diagnosis, treatment, and management of EVB in cirrhotic portal hypertension and with the aim to improve the level of clinical treatment of EVB in patients with cirrhotic portal hypertension.

Keywords: Cirrhosis; Esophagogastric variceal bleeding; Guideline; Management; Portal hypertension.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflict of interests related to this publication.

Figures

Fig. 1
Fig. 1. Recommended flow of clinical management of acute upper gastrointestinal bleeding in liver cirrhosis.
ACLF, acute-on-chronic liver failure; EVB, esophageal variceal bleeding; HVPG, hepatic venous pressure gradient; PVT, portal vein thrombosis; TIPS, transjugular intrahepatic portosystemic shunt.

Similar articles

Cited by

References

    1. Chinese Society of Gastroenterology, Chinese Medical Association, Chinese Society of Hepatology, Chinese Medical Association, Chinese Society of Endoscopology, Chinese Medical Association Consensus on prevention and treatment for gastroesophageal varices and variceal hemorrhage in liver cirrhosis. Zhonghua Gan Zang Bing Za Zhi. 2008;16(8):564–570. doi: 10.3321/j.issn:1007-3418.2008.08.002. Chinese. - DOI
    1. Chinese Society of Hepatologyf, Chinese Medical Association, Chinese Society of Gastroenterology, Chinese Medical Association, Chinese Society of Endoscopology, Chinese Medical Association Guidelines for the diagnosis and treatment of esophageal and gastric variceal bleeding in cirrhotic portal hypertension. J Clin Hepatol. 2016;32(2):203–219. doi: 10.3969/j.issn.1001-5256.2016.02.002. Chinese. - DOI
    1. Angeli P, Bernardi M, Villanueva C, Francoz C, Mookerjee RP, Trebicka J, et al. EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis. J Hepatol. 2018;69(2):406–460. doi: 10.1016/j.jhep.2018.03.024. - DOI - PubMed
    1. Biggins SW, Angeli P, Garcia-Tsao G, Ginès P, Ling SC, Nadim MK, et al. Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome: 2021 Practice Guidance by the American Association for the Study of Liver Diseases. Hepatology. 2021;74(2):1014–1048. doi: 10.1002/hep.31884. - DOI - PubMed
    1. Aithal GP, Palaniyappan N, China L, Härmälä S, Macken L, Ryan JM, et al. Guidelines on the management of ascites in cirrhosis. Gut. 2021;70(1):9–29. doi: 10.1136/gutjnl-2020-321790. - DOI - PMC - PubMed