SIG Greatest Hits: TLM 2025-Portal Hypertension SIG: Recompensation What is it and How Can We Get There

Portal Hypertension SIG: Recompensation What is it and How Can We Get There

Video Transcription

Video Summary

The speaker discusses recompensation in cirrhosis, illustrated by a case of a 53-year-old man whose condition improved after etiological treatment and alcohol abstinence. Recompensation refers to a decompensated cirrhosis patient regaining compensated status—with no ascites, encephalopathy, or variceal bleeding—after successful treatment. Studies show recompensation rates varying by etiology: about 35% overall, higher in hepatitis B (50%) and C (42%), and lower in alcohol-related disease (33%). Achieving recompensation improves survival and reduces liver-related mortality, but risk of hepatocellular carcinoma persists, and portosystemic shunts remain. Further research is needed, and definitions may evolve.

Asset Subtitle

Talk delivered by Dr. Anahita Rabiee. Talk was part of the Beyond the Guidelines: Challenges and Controversies in the Management of Portal Hypertension session.

Keywords

recompensation

cirrhosis

etiological treatment

alcohol abstinence

hepatocellular carcinoma