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  1. Gautam Mehta1,
  2. Juan G Abraldes2,3,
  3. Jaime Bosch2,3
  1. 1UCL Institute of Hepatology, University College London, London, UK
  2. 2Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clínic-IDIBAPS, Barcelona, Spain
  3. 3Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Barcelona, Spain
  1. Correspondence to Dr Gautam Mehta, UCL Institute of Hepatology, Upper 3rd Floor, UCL Medical School, Royal Free Campus, London NW3 2PF, UK; gautam.mehta{at}

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We are pleased to receive the comments from Amitrano and colleagues1 on our leading article.2 Indeed, they present interesting data confirming the improvement in outcome following variceal haemorrhage (VH) over recent decades, and demonstrating an effect of liver failure on prognosis—patients with previously compensated cirrhosis having a markedly improved outcome following VH than patients with decompensated cirrhosis (with ascites, jaundice or encephalopathy). An effect of liver failure on …

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