ACR Appropriateness Criteria® Radiologic Management of Portal Hypertension. J Am Coll Radiol 2021 May;18(5S):S153-S173
Date
05/08/2021Pubmed ID
33958110DOI
10.1016/j.jacr.2021.02.013Scopus ID
2-s2.0-85104783593 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
Cirrhosis is a heterogeneous disease that cannot be studied as a single entity and is classified in two main prognostic stages: compensated and decompensated cirrhosis. Portal hypertension, characterized by a pathological increase of the portal pressure and by the formation of portal-systemic collaterals that bypass the liver, is the initial and main consequence of cirrhosis and is responsible for the majority of its complications. A myriad of treatment options exists for appropriately managing the most common complications of portal hypertension, including acute variceal bleeding and refractory ascites. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Author List
Expert Panels on Interventional Radiology and Vascular Imaging, Pinchot JW, Kalva SP, Majdalany BS, Kim CY, Ahmed O, Asrani SK, Cash BD, Eldrup-Jorgensen J, Kendi AT, Scheidt MJ, Sella DM, Dill KE, Hohenwalter EJAuthors
Eric J. Hohenwalter MD, FSIR Chief, Professor in the Radiology department at Medical College of WisconsinMatthew J. Scheidt MD, FSIR Associate Professor in the Radiology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Esophageal and Gastric VaricesEvidence-Based Medicine
Gastrointestinal Hemorrhage
Humans
Radiology
Societies, Medical
United States
