{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:02:07Z","timestamp":1793638927317,"version":"4.5.1"},"reference-count":26,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:00:00Z","timestamp":1780099200000},"content-version":"vor","delay-in-days":130,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Iuliu Hatieganu"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endoscopic ultrasound (EUS) has emerged as a valuable tool for assessing portal hypertension (PH). Our study aimed to compare endoscopic ultrasound-guided portal pressure gradient (EUS-PPG) with directly measured transjugular PPG (T-PPG) and hepatic venous pressure gradient (HVPG) during transjugular intrahepatic portosystemic shunt (TIPS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive patients scheduled for elective TIPS between March 2023 and December 2024 were included. EUS was performed using a 22-gauge FNA needle attached to an invasive pressure monitoring module. TIPS placement and HVPG were performed according to the standard methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-four patients who underwent elective TIPS for PH-related complications were enrolled (mean age 56.4\u2009\u00b1\u20098.8\u2009years, model of end-stage liver disease [MELD] 15.0\u2009\u00b1\u20095.5). The technical success rates for EUS-PPG and HVPG were 92.3% and 100%, respectively. There was a strong correlation between EUS-PPG and T-PPG (r\u2009=\u20090.88, P\u2009&amp;lt;\u20090.01; intra-class correlation coefficient [ICC]\u2009=\u20090.930, 95% CI 0.837\u20130.970) and a moderate correlation between EUS-PPG and HVPG (r\u2009=\u20090.58, P\u2009&amp;lt;\u20090.05; ICC\u2009=\u20090.735, 95% CI 0.311\u20130.898). The presence of portal vein thrombosis (PVT) was independently associated with a\u2009\u2265\u20093\u2009mmHg difference between EUS-PPG and T-PPG (P\u2009=\u20090.04). Child-Pugh score was independently associated with a\u2009\u2265\u20093\u2009mmHg difference between EUS-PPG and HVPG (P\u2009=\u20090.01). Two minor adverse effects were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EUS-PPG demonstrates strong reliability when compared to direct PPG measurements obtained during TIPS insertion. Using a 22-gauge needle, EUS-PPG proved to be accurate and safe for assessing PH. The presence of PVT may be a cofounder of discrepancy between the direct methods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/gastro\/goag052","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T11:41:27Z","timestamp":1778154087000},"source":"Crossref","is-referenced-by-count":1,"title":["Endoscopic ultrasound versus direct transjugular portal pressure gradient in patients receiving TIPS: influence of portal vein thrombosis"],"prefix":"10.1093","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0117-5595","authenticated-orcid":false,"given":"Irina","family":"Dragomir","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d , Cluj-Napoca, Cluj 400162,","place":["Romania"]},{"name":"Department IV, Third Medical Clinic, Iuliu Ha\u021bieganu University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Pojoga","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d , Cluj-Napoca, Cluj 400162,","place":["Romania"]},{"name":"Department of Clinical Psychology and Psychotherapy, International Institute for Advanced Study of Psychotherapy and Applied Mental Health, Babes-Bolyai University , Cluj-Napoca, Cluj 400084,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Hagiu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d , Cluj-Napoca, Cluj 400162,","place":["Romania"]},{"name":"Department IV, Third Medical Clinic, Iuliu Ha\u021bieganu University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorana D","family":"Bolboac\u0103","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Biostatistics, Iuliu Ha\u021bieganu University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandru","family":"Alexa","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care I, \u201cIuliu Ha\u0163ieganu\u201d University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]},{"name":"Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d Department of Anesthesia, , Cluj-Napoca, Cluj 400162,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oana","family":"Nicoara-Farcau","sequence":"additional","affiliation":[{"name":"Department IV, Third Medical Clinic, Iuliu Ha\u021bieganu University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]},{"name":"Department of Hepatology, Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d Cluj-Napoca, Cluj 400162,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department IV, Third Medical Clinic, Iuliu Ha\u021bieganu University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]},{"name":"Department of Hepatology, Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d Cluj-Napoca, Cluj 400162,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4034-5471","authenticated-orcid":false,"given":"Horia","family":"Stefanescu","sequence":"additional","affiliation":[{"name":"Department IV, Third Medical Clinic, Iuliu Ha\u021bieganu University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]},{"name":"Department of Hepatology, Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d Cluj-Napoca, Cluj 400162,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bogdan","family":"Procopet","sequence":"additional","affiliation":[{"name":"Department IV, Third Medical Clinic, Iuliu Ha\u021bieganu University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]},{"name":"Department of Hepatology, Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d Cluj-Napoca, Cluj 400162,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrada","family":"Seicean","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Regional Institute of Gastroenterology and Hepatology \u201cProf. Dr. Octavian Fodor\u201d , Cluj-Napoca, Cluj 400162,","place":["Romania"]},{"name":"Department IV, Third Medical Clinic, Iuliu Ha\u021bieganu University of Medicine and Pharmacy , Cluj-Napoca, Cluj 400012,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"2026053010375555600_goag052-B1","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1007\/s12072-024-10739-6","article-title":"Non-cirrhotic portal fibrosis\/idiopathic portal hypertension: APASL recommendations for diagnosis and management","volume":"18","author":"Shukla","year":"2024","journal-title":"Hepatol Int"},{"key":"2026053010375555600_goag052-B2","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1097\/HEP.0000000000000647","article-title":"AASLD practice guidance on risk stratification and management of portal hypertension and varices in 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