Portal Hypertension VI Proceedings of the Sixth Baveno Consensus Wor

This book will be an excellent tool for practitioners seeking an update on the latest developments in the diagnosis and management of cirrhosis and portal hypertension. Among the topics addressed are risk stratification, prognosis, screening and surveilla

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Portal Hypertension VI Proceedings of the Sixth Baveno Consensus Workshop: Stratifying Risk and Individualizing Care

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Portal Hypertension VI

Roberto de Franchis Editor

Portal Hypertension VI Proceedings of the Sixth Baveno Consensus Workshop: Stratifying Risk and Individualizing Care

Editor Roberto de Franchis Gastroenterology Unit Luigi Sacco University Hospital Milan Italy

ISBN 978-3-319-23017-7 ISBN 978-3-319-23018-4 DOI 10.1007/978-3-319-23018-4

(eBook)

Library of Congress Control Number: 2015956182 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)

Andrew K. Burroughs, 26 May 1953–14 March 2014 Baveno VI was dedicated to the memory of Andrew K. Burroughs, hepatologist, clinical scientist, educator, mentor, and friend. Andy inspired the idea of the Baveno workshops and was one of the pillars upon which the Baveno history was built.

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The early 1980s, with the introduction of betablockers and the rediscovery of endoscopic sclerotherapy, saw a dramatic change in the management of variceal hemorrhage in cirrhosis. The studies published in those years were difficult to interpret because of the lack of standard definitions. Andy was the first to understand that, in order to improve the quality and comparability of studies, the investigators should meet and compare methods and experiences. For this reason, on 3 September 1986, Andy organized, in Groningen, an EASL premeeting in which representatives from 24 hepatology centers involved in the management of variceal hemorrhage participated. The aims of the Groningen meeting were: • To analyze the differences in design, analysis, and reporting of trials in portal hypertension • To agree on the intention of developing a consensus on various definitions and key descriptors of t