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@BritSocGastro update on portal hypertension guidance. 2015 guideline out of date but UK RCT results are pending. In the meantime time, we have written this update based on AASLD guidance with important caveats reflecting UK best practice and more recent data.
🟠 Portal hypertension: beyond varices
New in Frontline Gastroenterology (Open Access): The BSG position statement supports interim use of AASLD guidance — with important UK caveats.
📍 Focus on clinically significant portal hypertension
📊 Use VCTE + platelets to risk stratify
✅ Carvedilol preferred where appropriate
🩺 Endoscopy still matters in the “grey zone”
⚠️ Individualise decisions around NSBB tolerance and contraindications
A timely update while UK trial data are awaited.
🔗 fg.bmj.com/content/early/…
#FrontlineGastroenterology #Hepatology #Cirrhosis #PortalHypertension #LiverTwitter
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