Liver stiffness in non‐cirrhotic portal hypertension ‐ The Devil is in the diagnosis

Abstract

We have read with great interest the article by Vuppalanchi et al.¹, who studied the diagnostic role of liver stiffness measurements (LSM) in patients with non‐cirrhotic portal hypertension (NCPH) due to hepatic (nodular regenerative hyperplasia‐NRH) or prehepatic origin (portal vein thrombosis‐PVT). The role of LSM to identify a cirrhosis as the cause of the portal hypertension is well established² and the evidence of PVT in any imaging technique is sufficient to attribute the cause of portal hypertension to PVT and does not require further histological or elastographical confirmation.

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