Evidence map›Paper›PMID 41024757›Full record

ReviewWorld journal of gastroenterology2025

Advances in portal hypertension management: Evolution of the Baveno guidelines.

Michał Brzdęk, Krystyna Dobrowolska, Jakub Janczura, Małgorzata Wajdowicz, Kinga Brzdęk, Dorota Zarębska-Michaluk, Anita Gąsiorowska, Alessandra Mangia

Abstract readReview
In one paragraph

Review in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. [Advances in the diagnosis and treatment of portal hypertensive gastrointestinal and bile duct disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michał BrzdękCollegium Medicum, Jan Kochanowski University, Kielce 25-369, Poland.
Krystyna DobrowolskaCollegium Medicum, Jan Kochanowski University, Kielce 25-516, Poland.
Jakub JanczuraCollegium Medicum, Jan Kochanowski University, Kielce 25-516, Poland.
Małgorzata WajdowiczClinical Department of Infectious Diseases with Hepatology Subdivision, Collegium Medicum University of Rzeszow, Rzeszow 35-959, Poland.
Kinga BrzdękCollegium Medicum, Jan Kochanowski University, Kielce 25-516, Poland.
Dorota Zarębska-MichalukDepartment of Infectious Diseases and Allergology, Jan Kochanowski University, Kielce 25-516, Poland. dorota1010@tlen.pl.
Anita GąsiorowskaDepartment of Gastroenterology, Medical University of Lodz, Lodz 92-213, Poland.
Alessandra MangiaLiver Unit, Fondazione "Casa Sollievo della Sofferenza", IRCCS San Giovanni Rotondo, San Giovanni Rotondo 71013, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Management of portal hypertension has been the focus of the Baveno guidelines since 1990. This article explores the evolution of these recommendations and their impact on clinical practice. Initially reliant on invasive diagnostics such as the hepatic venous pressure gradient, later editions have incorporated non-invasive methods such as elastography and serum biomarkers. Management strategies have evolved substantially. Endoscopic surveillance has shifted from routine annual endoscopy to an individualized approach based on liver stiffness and platelet count. The role of non-selective beta-blockers (NSBBs) in primary prophylaxis has expanded. Endoscopic band ligation has become the preferred alternative for patients intolerant to NSBBs. In secondary prophylaxis, Baveno II replaced sclerotherapy with band ligation, and later guidelines confirmed the superiority of NSBBs combined with ligation. Transjugular intrahepatic portosystemic shunt emerged as the preferred rescue therapy, with early use emphasized in high-risk patients. Ongoing advancements continue to refine diagnostic and therapeutic strategies, further improving patient outcomes.

Indexed as

Esophageal and Gastric VaricesGastroenterologyGastrointestinal HemorrhageHypertension, PortalPractice Guidelines as TopicAdrenergic beta-AntagonistsElasticity Imaging TechniquesHumansLigationPortal PressurePortasystemic Shunt, Transjugular IntrahepaticSclerotherapyTreatment OutcomeAdrenergic beta-AntagonistsBaveno guidelinesEndoscopic band ligationEsophageal varicesHepatic venous pressure gradientNon-selective beta-blockersPortal hypertensionTransjugular intrahepatic portosystemic shunt

Identifiers

PMID41024757
PMCPMC12476642

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.