This protocol addresses patients with splanchnic vein thrombosis who have established portal hypertension or are considered to be at risk of developing it.
In this setting, variceal risk is a primary management priority. Early endoscopic assessment is recommended to screen for varices, followed by targeted prophylaxis for those at high risk of variceal bleeding.
Management involves early endoscopic evaluation for variceal screening. Where high-risk varices are identified, specific prophylactic interventions are indicated. The complete protocol — including the full sequence, criteria, and intervention details — is available via the link below.
DOI: 10.1111/jth.14836
In patients with splanchnic vein thrombosis who have or are considered to be at risk of portal hypertension, we recommend early esophagogastroduodenoscopy for variceal screening followed by adequate medical prophylaxis and endoscopic variceal band ligation of high-risk varices.
Medical prophylaxis and endoscopic variceal band ligation for high-risk varices to reduce the incidence of first and recurrent variceal bleeding.
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