Article Text

Download PDFPDF
Twitter debate: controversies in the management of portal hypertension
  1. William Chung1,
  2. James Maurice1,2,
  3. David Patch1
  1. 1 The Royal Free Sheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, Hampstead, London, UK
  2. 2 Department of Gastroenterology, Barts Health NHS Trust, London, UK
  1. Correspondence to Dr William Chung, The Royal Free Sheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, Hampstead NW3 2QG, London, United Kingdom; WILLIAM.CHUNG{at}NHS.NET


The latest ‘Controversies in…’ series for the Frontline Gastroenterology Twitter debates addressed the challenges of managing patients with portal hypertension, facilitated by Hepatologist and Liver Transplant physician Dr David Patch from the Royal Free London. Key topics discussed include basic principles of managing a patient with variceal bleeding, techniques for treating oesophageal and ectopic varices, pitfalls of vasoactive therapy, indications for transjugular intrahepatic portosystemic shunt, and a brief discussion of portal vein thrombosis. This article aims to summarise key areas of discussion from the event.

  • portal hypertension
  • oesophageal varices
  • gastrointestinal bleeding
  • venous thrombosis

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Twitter @jamesbmaurice

  • Contributors WC, JM and DP wrote the manuscript and approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

Linked Articles

  • UpFront
    R Mark Beattie