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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. Aug 7, 2026; 32(29): 119106
Published online Aug 7, 2026. doi: 10.3748/wjg.119106
Preventive strategies in hepatology: Role of multiparametric assessment of portal hypertension in chronic liver disease
Angela Peltec, Ioan Sporea
Angela Peltec, Discipline of Gastroenterology, Department of Internal Medicine, “Nicolae Testemitanu” State University of Medicine and Pharmacy, Chishinev 2019, Moldova
Ioan Sporea, Department of Gastroenterology and Hepatology, “Victor Babes” University of Medicine and Pharmacy, Timisoara 300736, Romania
Author contributions: Peltec A contributed to the conception of the review and writing of the manuscript; Sporea I provided important intellectual contributions to the study and various revisions of the manuscript; and all authors read and approved the final version of the manuscript.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Corresponding author: Angela Peltec, MD, PhD, Associate Professor, Discipline of Gastroenterology, Department of Internal Medicine, “Nicolae Testemitanu” State University of Medicine and Pharmacy, Str. Testemitanu 29, Chishinev 2019, Moldova. angela.peltec@usmf.md
Received: January 19, 2026
Revised: February 9, 2026
Accepted: April 8, 2026
Published online: August 7, 2026
Processing time: 179 Days and 12.2 Hours
Core Tip

Core Tip: The goal of preventive hepatology is to reduce the burden of liver disease through early detection, risk stratification, and timely intervention. Assessing portal hypertension in patients with advanced chronic liver disease is essential for predicting decompensation and guiding clinical management. Noninvasive imaging techniques, particularly multiparametric ultrasound (MPUS), are valuable approaches for evaluating portal hemodynamics. Combining Doppler ultrasound, contrast-enhanced ultrasound, elastography, and endoscopic ultrasound, MPUS enables accurate, accessible, and radiation-free assessment of liver disease severity. The integration of MPUS into routine care will support effective screening and monitoring to ultimately improve outcomes.

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