Table 6.
Therapies reducing severity of PHG | Ref. |
TIPS | [76,77,98] |
Transcatheter splenic arterial embolization | [99] |
Surgical shunt | |
Portocaval shunt | [100] |
Central splenorenal shunt | [101] |
Laparoscopic splenectomy (in patients with hypersplenism) | [55] |
Liver transplantation | [44] |
Therapies reducing risk of bleeding from PHG | |
TIPS | [75,98,102] |
Surgical shunt (portocaval or splenorenal) | [100,101] |
Nonselective b β-adrenergic receptor antagonists (e.g., propranolol) | [103 (in rats),104] |
Somatostatin family of drugs | |
Somatostatin | [105] |
Octreotide | [106] |
Vasopressin family of drugs | |
Vasopressin | [106] |
Terlipressin | [107] |
Therapies that increase incidence or risk of bleeding from PHG | |
Endoscopic therapies for varices | |
Variceal ligation | [11,41] |
Variceal sclerotherapy | [11,83] |
Interventional angiography | |
Percutaneous transhepatic variceal embolization | [85] |
TIPS: Transjugular intrahepatic portosystemic shunt; PHG: Portal hypertensive gastropathy.