Portal hypertension surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

Surgery is not the first-line treatment option for patients with portal hypertension. Surgery is usually reserved for patients with either severe cirrhosis, esophageal varices, splenomegaly, ascites, or liver failure.

Surgery

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Surgery is not the first-line treatment option for patients with portal hypertension. Surgery is usually reserved for patients with either:[1]


Transjugular intrahepatic portosystemic shunting


Esophageal varices ligation


Splenectomy


Ascites treatment


Liver transplantation

References

  1. Collins JC, Sarfeh IJ (1995). "Surgical management of portal hypertension". West J Med. 162 (6): 527–35. PMC 1022831. PMID 7618313.
  2. Lahat E, Lim C, Bhangui P, Fuentes L, Osseis M, Moussallem T, Salloum C, Azoulay D (2017). "Transjugular intrahepatic portosystemic shunt as a bridge to non-hepatic surgery in cirrhotic patients with severe portal hypertension: a systematic review". HPB (Oxford). doi:10.1016/j.hpb.2017.09.006. PMID 29110990.
  3. Poza Cordon J, Froilan Torres C, Burgos García A, Gea Rodriguez F, Suárez de Parga JM (2012). "Endoscopic management of esophageal varices". World J Gastrointest Endosc. 4 (7): 312–22. doi:10.4253/wjge.v4.i7.312. PMC 3399010. PMID 22816012.
  4. Bradley EL (1987). "The natural history of splenic vein thrombosis due to chronic pancreatitis: indications for surgery". Int. J. Pancreatol. 2 (2): 87–92. PMID 3500243.
  5. Arroyo V, Ginès P, Planas R (1992). "Treatment of ascites in cirrhosis. Diuretics, peritoneovenous shunt, and large-volume paracentesis". Gastroenterol. Clin. North Am. 21 (1): 237–56. PMID 1568775.
  6. Starzl TE, Van Thiel D, Tzakis AG, Iwatsuki S, Todo S, Marsh JW; et al. (1988). "Orthotopic liver transplantation for alcoholic cirrhosis". JAMA. 260 (17): 2542–4. PMC 3091380. PMID 3050180.

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