Abstract
Decompensation events, such as portal hypertensive bleeding, are associated with increased morbidity and mortality among persons living with cirrhosis. Current practice guidelines recommend surveillance for esophageal varices in the setting of clinically significant portal hypertension. The Advanced Liver Disease Dashboard (ALDD) is a national online database developed and maintained by the Department of Veterans Affairs (VA) to facilitate tracking of hepatocellular cancer and esophageal variceal surveillance exams. This online database has potential to optimize workflow through appropriate triage of patients to direct endoscopy or hepatology clinic. The COVID-19 epidemic served as an impetus to utilize a population-based approach to variceal surveillance given delays in access to EGD procedures and limited face-to-face patient encounters. We report the results of our experience at a single VA tertiary care center.
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