Laparoscopic splenectomy plus esophagogastric devascularization significantly reduced hepatic venous pressure gradient (HVPG) in patients with portal hypertension, with 66% showing a decrease. Notably, those exhibiting a postoperative HVPG reduction greater than 20% demonstrated improved recurrent hemorrhage-free survival rates compared to others. Baseline HVPG and preoperative Child-Turcotte-Pugh class B were found to correlate with decreased HVPG response. These findings underscore the potential of HVPG as a prognostic tool in surgical management of portal hypertension.
Journal Article by Zhang M, Wang D (…) Yin J et 6 al. in BMC Gastroenterol
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