EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis

J Hepatol. 2022 May;76(5):1151-1184. doi: 10.1016/j.jhep.2021.09.003. Epub 2022 Mar 15.

Abstract

The prevention and management of bleeding and thrombosis in patients with cirrhosis poses several difficult clinical questions. These Clinical Practice Guidelines have been developed to provide practical guidance on debated topics, including current views on haemostasis in liver disease, controversy regarding the need to correct thrombocytopenia and abnormalities in the coagulation system in patients undergoing invasive procedures, and the need for thromboprophylaxis in hospitalised patients with haemostatic abnormalities. Multiple recommendations in this document are based on interventions that the panel feels are not useful, even though widely applied in clinical practice.

Publication types

  • Practice Guideline

MeSH terms

  • Anticoagulants / therapeutic use
  • Hemorrhage / etiology
  • Hemorrhage / prevention & control
  • Hemostasis
  • Humans
  • Liver Cirrhosis / drug therapy
  • Thrombosis* / etiology
  • Thrombosis* / prevention & control
  • Venous Thromboembolism* / drug therapy

Substances

  • Anticoagulants