Hepatic Venous Pressure Gradient Predicts Further Decompensation in Cirrhosis Patients with Acute Esophageal Variceal Bleeding

Background: The role of hepatic venous pressure gradient (HVPG) in predicting further decompensation cirrhosis patients with acute variceal bleeding (AVB) is not known. We aimed to evaluate the HVPG AVB Methods: In this prospective study, 145 esophageal or gastric were included. was measured on day AVB. Decompensating events occurring after 42-days considered decompensation. Results: median age study cohort 44 years; 88.3% males. predominant etiology alcohol (46.2%). Overall, 40 (27.6%) developed during follow-up 296 days following Gastro intestinal n = 27 (18.6%) and new-onset/worsening ascites 20 (13.8%) most common decompensating events. According multivariate model, an independent predictor any but patients. cut-off ≥16 mmHg predicted However, mortality. Conclusion: episode hemorrhage from varices predicts