“A la carte” treatment of portal hypertension: Adapting medical therapy to hemodynamic response for the prevention of bleeding
Christophe Bureau, Jean‐Marie Péron, Laurent Alric, Joséphine Morales, Jérǒme Sanchez, Karl Barange, Jean‐Louis Payen, Jean‐Pierre Vinel – 7 March 2007 – We report the results of adapting medical therapy to the monitoring of hemodynamic response in the prevention of a first variceal bleeding or rebleeding in patients with cirrhosis. Hepatic venous pressure gradient (HVPG) was measured before and after propranolol was initiated. The patients were considered responders if HVPG decreased below 12 mm Hg or at least 20% as compared with baseline value.