Factores asociados a hipertensión portal en cirrosis crónica en el Hospital General del Norte de Guayaquil IESS los Ceibos en el año 2019.

Abstract

Liver cirrhosis is the end stage of all known liver diseases and its close association with many complications such as portal hypertension. Approximately 40-60% of cases are associated with alcohol abuse, while 20-30% of cases are associated with chronic viral hepatitis. Portal hypertension is a process caused by changes in the vascular pattern causing progressive liver degeneration, fibrosis, or regenerative nodules. Approximately 80% of cases have alcoholic liver cirrhosis and 40% have underlying complications such as gastrointestinal bleeding. It is considered the 14th cause of death worldwide. The second most common complication is ascites, about 60% of patients with decompensated cirrhosis usually develop in the first 10 years. In addition, in cases of compensated cirrhosis, esophageal varices can develop, classifying it into stage 1 and stage 2, assessed by the hepatic venous pressure gradient with a decompensation point of 10mmHg (clinical portal hypertension).