Expert consensus on emergency procedures for portal hypertension bleeding (2022)

Lin Sun; Lin Long; Qing Wang; Hua Xiang; Members of the Expert Consensus Steering Committee (in alphabetical order)

doi:10.1016/j.jimed.2022.10.006

Expert consensus on emergency procedures for portal hypertension bleeding (2022)

J Interv Med. 2023 Jan 12;6(1):1-9. doi: 10.1016/j.jimed.2022.10.006. eCollection 2023 Feb.

Authors

Lin Sun^{1

2

3

4

5}, Lin Long^{1

2

3

4

5}, Qing Wang^{1

2

3

4

5}, Hua Xiang^{1

2

3

4

5}; Members of the Expert Consensus Steering Committee (in alphabetical order)

Collaborators

Members of the Expert Consensus Steering Committee (in alphabetical order):
Cai Huangxing⁶, Chai Yanfang⁷, Chen Feng⁸, Cheng Wei⁹, Chu Jianguo¹⁰, Shan Aijun¹¹, Deng Ying¹², Fang Bangjiang¹³, Feng Zhijie¹⁴, Gao Fei¹⁵, Han Xiaotong¹⁶, Huang Mingsheng¹⁷, Jin Guiyun¹⁸, Jinlong¹⁹, Li Jiaping²⁰, Li Lei²¹, Li Peiwu²², Li Xiao²³, Li Zhanfei²⁴, Li Zhen²⁵, Liu Fuquan²⁶, Liu Jueshi⁶, Liu Peng²⁷, Liu Xiaoran²⁸, Lu Ligong²⁹, Luo Jianjun³⁰, Luo Xuefeng³¹, Lv Chuanzhu³², Lv Weifu³³, Ma Qingbian³⁴, Ma Yilong³⁵, Mao Zhiqun³⁶, Peng Ya³⁷, Sun Junhui³⁸, Tie Jun³⁹, Tan Xianzheng⁴⁰, Wang Qing⁶, Wang Rixing⁴¹, Wang Yong⁴², Wei An⁴³, Xia Zhiyu⁴⁴, Xiang Bin⁴⁵, Xiong Bin⁴⁶, Xu Shuogui⁴⁷, Xue Hui⁴⁸, Yang Weizhu⁴⁹, Yuan Min⁵⁰, Zhang Chunqing⁵¹, Zhang Guoqiang⁵², Zhang Jianfeng⁵³, Zhang Jinxiang⁵⁴, Zhang Zhiming⁶, Zhao Jianbo⁵⁵, Zhao Xiaodong⁵⁶, Zhou Fachun⁵⁷, Zhou Shi⁵⁸, Zhu Xiaoli⁵⁹, Zhu Changju⁶⁰, Zhuge Yu Zheng⁶¹, Zhu Yimin⁶², Zou Yinghua⁶³

Affiliations

¹ Chinese Society of Emergency Medicine, Interventional Physician Branch of Chinese Medical Doctor Association, China.
² Interventional Group of Radiology Society of Chinese Medical Association, China.
³ Haemorrhage Professional Committee of Chinese Research Hospital Association, China.
⁴ China Haemorrhage Center Alliance, China.
⁵ Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, 410005, China.
⁶ Interventional Vascular Surgery, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, China.
⁷ Department of Emergency Medicine, Tianjin General Hospital, China.
⁸ Hunan Normal University, Hunan Provincial People's Hospital, Department of Hepatology, The First Affiliated Hospital of the University, China.
⁹ Hepatobiliary Surgery, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, China.
¹⁰ Air Force Special Medical Center, Air Force General Hospital, China.
¹¹ Emergency Department, Shenzhen People's Hospital, China.
¹² Emergency Department of the Second Affiliated Hospital of Harbin Medical University, China.
¹³ Emergency Department of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, China.
¹⁴ Department of Gastroenterology, The Second Affiliated Hospital of Hebei Medical University, China.
¹⁵ Sun Yat-Sen University Cancer Center Minimally Invasive Interventional Department, China.
¹⁶ Emergency Department of the First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospita, Chinal.
¹⁷ Interventional Department of the Third Affiliated Hospital of Sun Yat-sen University, China.
¹⁸ Interventional Therapy Department of the First Affiliated Hospital of Hainan Medical College, China.
¹⁹ Interventional Department of Beijing Friendship Hospital, China.
²⁰ Department of Interventional Oncology, First Affiliated Hospital of Sun Yat-sen University, China.
²¹ Department of Interventional Medicine, First Affiliated Hospital of Lanzhou University, China.
²² Department of Emergency Medicine, Second Hospital of Lanzhou University, China.
²³ (China) Department of Interventional Therapy, Cancer Hospital, Academy of Medical Sciences), China.
²⁴ Trauma Surgery, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, China.
²⁵ Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, China.
²⁶ Department of Interventional Therapy, Beijing Shijitan Hospital, China.
²⁷ Department of Gastroenterology, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, China.
²⁸ Emergency Department of Hainan Medical College, China.
²⁹ (Zhuhai People's Hospital) Hospital Interventional Diagnosis and Treatment Center, China.
³⁰ Interventional Department of Zhongshan Hospital Affiliated to Fudan University, China.
³¹ Gastroenterology Department of West China Hospital, China.
³² Emergency Department of Sichuan Provincial People's Hospital, China.
³³ Interventional Radiology Department, Affiliated Hospital of University of Science and Technology of China, China.
³⁴ Emergency Department, Peking University Third Hospital, China.
³⁵ Interventional Department, Cancer Hospital Affiliated to Guangxi Medical University, China.
³⁶ Radiology Department, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, China.
³⁷ (Hunan Normal University, Hunan Provincial People's Hospital), Department of Gastroenterology, The First Affiliated Hospital of the University), China.
³⁸ Hepatobiliary and Pancreatic Intervention Center, The First Affiliated Hospital of Zhejiang University School of Medicine, China.
³⁹ Department of Gastrointestinal Intervention, Xijing Hospital, Air Force Military Medical University, China.
⁴⁰ (The First Affiliated to Hunan Normal University, Hunan Provincial People's Hospital), Hospital Radiology Department, China.
⁴¹ Emergency Department, The Second Affiliated Hospital of Hainan Medical College, China.
⁴² Interventional Diagnosis Department, The Second Affiliated Hospital of Hainan Medical College, China.
⁴³ Department of Ultrasound, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, China.
⁴⁴ Emergency Department, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, China.
⁴⁵ The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, Hospital Interventional Vascular Surgery, China.
⁴⁶ Tongji Medicine, Huazhong University of Science and Technology, Department of Interventional Therapy, Union Hospital Affiliated to the College, China.
⁴⁷ Department of Traumatology, Changhai Hospital Affiliated to Naval Medical University, China.
⁴⁸ Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, China.
⁴⁹ Department of Interventional Therapy, Union Hospital Affiliated to Fujian Medical University, Cardiovascular Surgery, Japan Friendship Hospital, China.
⁵⁰ Intervention Department, Shanghai Public Health Center, China.
⁵¹ Gastroenterology Department, Shandong Provincial Hospital, China.
⁵² Emergency Department, China-Japan Friendship Hospital, China.
⁵³ Emergency Department, Second Affiliated Hospital of Guangxi Medical University, China.
⁵⁴ Emergency Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, China.
⁵⁵ Interventional Department, Nanfang Hospital Affiliated to Southern Medical University, China.
⁵⁶ Emergency Department, Fourth Medical Center, PLA General Hospital, China.
⁵⁷ Department of Emergency Medicine, The First Affiliated Hospital of Chongqing Medical University, China.
⁵⁸ Department of Interventional, The First Affiliated Hospital of Guizhou Medical University, China.
⁵⁹ Department of Interventional, The First Affiliated Hospital of Soochow University, China.
⁶⁰ Emergency Center, The First Affiliated Hospital of Zhengzhou University, China.
⁶¹ Department of Gastroenterology, Nanjing Drum Tower Hospital, China.
⁶² Hunan Emergency Research Institute, China.
⁶³ Interventional Vascular Surgery, Peking University First Hospital, China.

Abstract

Expert consensus proposes an emergency treatment protocol for portal hypertension bleeding. Herein, the emergency treatment procedures, which include first aid, medical, interventional, and surgical treatments, are described. In addition, the indications, contraindications, operating norms, precautions, and prevention of complications of portal hypertension are described to optimize the first aid process.

Keywords: Consensus; First aid process; Portal hypertension bleeding.