Endoscopic ultrasound-guided portal pressure gradient measurement in managing portal hypertension

doi:10.4240/wjgs.v15.i6.1033

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World Journal of Gastrointestinal Surgery

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World J Gastrointest Surg. Jun 27, 2023; 15(6): 1033-1039
Published online Jun 27, 2023. doi: 10.4240/wjgs.v15.i6.1033

Endoscopic ultrasound-guided portal pressure gradient measurement in managing portal hypertension

Cosmas Rinaldi Adithya Lesmana

Cosmas Rinaldi Adithya Lesmana, Internal Medicine, Hepatobiliary Division, Dr. Cipto Mangunkusumo National General Hospital, Universitas Indonesia, Jakarta 10430, DKI, Indonesia

Cosmas Rinaldi Adithya Lesmana, Digestive Disease & GI Oncology Center, Medistra Hospital, Jakarta 12950, DKI, Indonesia

Cosmas Rinaldi Adithya Lesmana, Gastrointestinal Cancer Center, MRCCC Siloam Semanggi Hospital, Jakarta 12930, DKI, Indonesia

Author contributions: Lesmana CRA conceptualized the idea and wrote the manuscript.

Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Cosmas Rinaldi Adithya Lesmana, FACG, FACP, MD, PhD, Assistant Professor, Senior Lecturer, Internal Medicine, Hepatobiliary Division, Dr. Cipto Mangunkusumo National General Hospital, Universitas Indonesia, JL. Diponegoro 71, Jakarta 10430, DKI, Indonesia. medicaldr2001id@yahoo.com

Received: October 28, 2022
Peer-review started: October 28, 2022
First decision: November 14, 2022
Revised: November 30, 2022
Accepted: April 24, 2023
Article in press: April 24, 2023
Published online: June 27, 2023

Core Tip

Core Tip: Portal hypertension (PH) is a challenging clinical condition due to its silent manifestations in the early stage. Hepatic vein pressure gradient measurement is still the gold standard for PH diagnosis; however, it is not recommended for a routine measurement in daily practice. Esophagogastroduodenoscopy is still the main procedure for variceal screening due to PH. Recently, there has been a development in using endoscopic ultrasound (EUS) for managing liver diseases. EUS-guided portal pressure gradient measurement seems to be a promising method in the future for early detection and management of PH.