Gastric variceal pressure gradient in patients with large spontaneous shunts: A novel approach to local hemodynamic assessment

doi:10.3748/wjg.121668

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastroenterol. Nov 7, 2026; 32(41): 121668
Published online Nov 7, 2026. doi: 10.3748/wjg.121668

Table 2 Characteristics of gastric varices in patients (n = 25), mean ± SD/n (%)

Characteristics	Patients enrolled
GEVs classification
IGV1	14 (56)
IGV1 + GOV1	6 (24)
GOV2	5 (20)
Portosystemic shunt
Gastro-renal shunt	19 (76)
Spleen-renal shunt	6 (24)
Diameter of gastric varices, cm	2.68 ± 0.79
Diameter of the portosystemic shunt, cm	1.29 ± 0.31
Diameter of portal vein, cm	1.47 ± 0.19
HVPG
HVPG (mmHg)	6.16 ± 2.56
FHVP (mmHg)	13.36 ± 5.52
WHVP (mmHg)	19.80 ± 7.10
EUS-PPG
PPG (mmHg)	9.04 ± 5.74
IVCP (mmHg)	10.72 ± 4.73
PVP (mmHg)	19.84 ± 7.94
GVPG (mmHg)	16.32 ± 6.18
GVP (mmHg)	27.04 ± 7.67
Variceal bleeding ≤ 4 weeks	16 (64)

GEVs: Gastroesophageal varices; IGV: Isolated gastric varices; GOV: Gastro-oesophageal varices; HVPG: Hepatic venous pressure gradient; FHVP: Free hepatic venous pressure; WHVP: Wedged hepatic venous pressure; EUS-PPG: Endoscopic ultrasound-guided portal pressure gradient; PPG: Portal pressure gradient; IVCP: Inferior vena cava pressure; PVP: Portal vein pressure; GVPG: Gastric varices pressure gradient; GVP: Gastric varices pressure.

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Citation: Wei W, Xue M, Xu LY. Gastric variceal pressure gradient in patients with large spontaneous shunts: A novel approach to local hemodynamic assessment. World J Gastroenterol 2026; 32(41): 121668
URL: https://www.wjgnet.com/1007-9327/full/v32/i41/121668.htm
DOI: https://dx.doi.org/10.3748/wjg.121668

Wei W, Xue M, Xu LY. Gastric variceal pressure gradient in patients with large spontaneous shunts: A novel approach to local hemodynamic assessment. World J Gastroenterol 2026; 32(41): 121668 [DOI: 10.3748/wjg.121668]

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