{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:33:20Z","timestamp":1757619200242,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2020,1,8]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>The latest \u2018Controversies in\u2026\u2019 series for the <jats:italic>Frontline Gastroenterology<\/jats:italic> Twitter debates addressed the challenges of managing patients with portal hypertension, facilitated by Hepatologist and Liver Transplant physician Dr David Patch from the Royal Free London. Key topics discussed include basic principles of managing a patient with variceal bleeding, techniques for treating oesophageal and ectopic varices, pitfalls of vasoactive therapy, indications for transjugular intrahepatic portosystemic shunt, and a brief discussion of portal vein thrombosis. This article aims to summarise key areas of discussion from the event.<\/jats:p>","DOI":"10.1136\/flgastro-2019-101400","type":"journal-article","created":{"date-parts":[[2020,1,30]],"date-time":"2020-01-30T17:19:34Z","timestamp":1580404774000},"page":"77-79","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Twitter debate: controversies in the management of portal hypertension"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8624-318X","authenticated-orcid":false,"given":"William","family":"Chung","sequence":"first","affiliation":[{"name":"The Royal Free Sheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, Hampstead, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1530-5328","authenticated-orcid":false,"given":"James","family":"Maurice","sequence":"additional","affiliation":[{"name":"The Royal Free Sheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, Hampstead, London, UK"},{"name":"Department of Gastroenterology, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Patch","sequence":"additional","affiliation":[{"name":"The Royal Free Sheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, Hampstead, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,1,30]]},"reference":[{"key":"2025090708071022000_12.1.77.1","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.clinre.2014.06.018","article-title":"Improved survival of cirrhotic patients with variceal bleeding over the decade 2000-2010","volume":"39","author":"Vuachet","year":"2015","journal-title":"Clin Res Hepatol Gastroenterol"},{"key":"2025090708071022000_12.1.77.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.06.029"},{"key":"2025090708071022000_12.1.77.3","doi-asserted-by":"crossref","DOI":"10.4240\/wjgs.v8.i11.729","article-title":"Pitfalls in Histoacryl glue injection therapy for oesophageal, gastric and ectopic varices: a review","volume":"8","author":"Al-Hillawi","year":"2016","journal-title":"World J Gastrointest Surg"},{"key":"2025090708071022000_12.1.77.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2010.09.031"},{"key":"2025090708071022000_12.1.77.5","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1007\/s11901-017-0382-6","article-title":"The management of bleeding from anorectal varices","volume":"16","author":"Robertson","year":"2017","journal-title":"Curr Hepatology Rep"},{"key":"2025090708071022000_12.1.77.6","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1111\/liv.13728","article-title":"Low molecular weight heparin does not increase bleeding and mortality post-endoscopic variceal band ligation in cirrhotic patients","volume":"38","author":"Bianchini","year":"2018","journal-title":"Liver Int"},{"key":"2025090708071022000_12.1.77.7","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1111\/apt.12974","article-title":"Review article: the management of cirrhosis in women","volume":"40","author":"Allen","year":"2014","journal-title":"Aliment Pharmacol Ther"},{"key":"2025090708071022000_12.1.77.8","unstructured":"British Society Of Gastroenterology . 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