eus引导门静脉压力测量：如何使其更准确？作者的回应

IF 25.8 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gut Pub Date : 2025-10-05 DOI:10.1136/gutjnl-2025-337052

Aniruddha Pratap Singh, Duvvur Nageshwar Reddy, Sundeep Lakhtakia

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引用次数: 0

摘要

我们感谢Zhang等人对我们的研究感兴趣，并对超声内镜下门静脉压力（EUS-PVP）测量的准确性提出了周到的意见该信提出了几个值得澄清的重要方法考虑。首先，关于观察到的紧凑型血压计（CM）与通过压力传感器（CPT）连接中心静脉压（CVP）模块的常规心电监护仪之间的中度相关性（Pearson系数0.72），用于术前EUS-PVP测量，我们同意这不如术中良好的相关性（0.96）强。然而，这种差异可能是由于程序上的差异，而不是技术本身的不准确。所有EUS- pvp测量均在异丙酚麻醉监护下的左侧体位进行，使用EUS镜的长体位，这可能会增加阻力。在我们的研究中，归零是在静压下进行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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EUS-guided portal pressure measurement: how to make it more accurate? Authors’ response

We thank Zhang et al for their interest in our study and for their thoughtful comments on the accuracy of endoscopic ultrasound-guided portal vein pressure (EUS-PVP) measurements.1 The letter raises several important methodological considerations that merit clarification. First, regarding the observed moderate correlation (Pearson coefficient 0.72) between the compact manometer (CM) and the conventional ECG monitor with central venous pressure (CVP) module connected via a pressure transducer (CPT) for preoperative EUS-PVP measurements, we agree that this is not as strong as the excellent intraoperative correlation (0.96). However, this discrepancy may have arisen from procedural variations rather than inherent inaccuracies in the technique. All EUS-PVP measurements were performed in the left lateral position under monitored anaesthesia care with propofol, using the long position of the EUS scope, which may increase resistance. In our study, zeroing was performed at the phlebostatic …

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来源期刊

Gut 医学-胃肠肝病学

CiteScore

45.70

自引率

2.40%

发文量

284

审稿时长

1.5 months

期刊介绍： Gut is a renowned international journal specializing in gastroenterology and hepatology, known for its high-quality clinical research covering the alimentary tract, liver, biliary tree, and pancreas. It offers authoritative and current coverage across all aspects of gastroenterology and hepatology, featuring articles on emerging disease mechanisms and innovative diagnostic and therapeutic approaches authored by leading experts. As the flagship journal of BMJ's gastroenterology portfolio, Gut is accompanied by two companion journals: Frontline Gastroenterology, focusing on education and practice-oriented papers, and BMJ Open Gastroenterology for open access original research.