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Gastroenterology22 papers

Hepatic congestion

Last edited: 4/10/2026

Overview

Hepatic congestion refers to the accumulation of blood within the liver, often due to elevated venous pressure. This can lead to impaired liver function and is a significant clinical sign 1.

Diagnosis

  • The hepatojugular reflux is a clinical sign used in the assessment of hepatic congestion 1.
  • It is elicited by applying pressure to the abdomen, which can cause a rise in jugular venous pressure if hepatic congestion is present 1.
  • Incorrectly referring to this sign as the "hepatojugular reflex" may indicate a lack of basic understanding 1.

    • Management

  • Management strategies are not detailed in the provided abstracts.

    • Key Recommendations

  • Recognize the hepatojugular reflux as an important prognostic clinical sign 1.
  • Correctly identify the sign as "hepatojugular reflux" rather than "hepatojugular reflex" to demonstrate a basic understanding of physiology 1.

    • References

    1 Mostafa O. Hepatojugular 'reflex' or 'reflux'? A tale of two vowels. Postgraduate medical journal 2023. link

    Original source

    1. [1]
      Hepatojugular 'reflex' or 'reflux'? A tale of two vowels. — Mostafa O Postgraduate medical journal (2023)
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