How to prevent recurrent bleeding from portal hypertensive gastropathy?
Portal hypertensive gastropathy (PHG) and portal hypertension-associated gastric or small intestinal polypoid lesions have to be distinguished from gastric antral vascular ectasia because treatments are different.
NSBBs are the first-line therapy for preventing recurrent bleeding from PHG.
Endoscopic therapy (e.g., argon plasma coagulation or hemospray) may be used to treat recurrent bleeding from PHG.
TIPS should be considered for transfusion-dependent PHG despite traditional NSBBs or carvedilol and endoscopic therapy.