• JNMA J Nepal Med Assoc · Oct 2023

    Portal Hypertension among Patients with Chronic Liver Disease Admitted to the Department of Internal Medicine of a Tertiary Care Centre.

    • Sabina Khadka, Ananda Aryal, Sagun Karki, Pratik Subedi, Kanchan Bogati, Sunil Baniya, Shrekshya Khadka, Kumar Roka, and Asha Shahi.
    • Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
    • JNMA J Nepal Med Assoc. 2023 Oct 1; 61 (266): 779781779-781.

    IntroductionPortal hypertension is increased pressure within the portal vein. A portal pressure gradient of more than 10 mmHg is defined as "clinically significant portal hypertension" due to manifestations such as splenomegaly, gastroesophageal varices, ascites, hepatorenal syndrome, hepatopulmonary syndrome, hepatic encephalopathy, and spontaneous bacterial peritonitis. The aim of this study was to find out the prevalence of portal hypertension among patients with chronic liver disease admitted to the Department of Internal Medicine of a tertiary care centre.MethodsA descriptive cross-sectional study was conducted among patients with chronic liver disease in the Department of Internal Medicine of a tertiary care centre from 1 January 2021 to 31 December 2022 after obtaining ethical approval from the Institutional Review Committee. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.ResultsAmong 247 patients with chronic liver disease, the prevalence of portal hypertension was 38 (15.38%) (10.88-19.88, 95% Confidence Interval). A total of 16 (42.11%) patients were in the age group of 51-60 years and males were 36 (94.74%). Ascites as a complication were found in 4 (10.53%).ConclusionsThe prevalence of portal hypertension among chronic liver disease inpatients in a tertiary care centre was found to be lower than other studies done in international settings.Keywordsinpatients; liver disease; portal hypertension; prevalence.

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