Portal hypertension surgery: Difference between revisions

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Revision as of 21:40, 9 November 2017

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

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

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

Transjugular intrahepatic portosystemic shunting

Transjugular intrahepatic portosystemic shunting (TIPS) is bypassing the high flow rate of portal vein into the systemic veins.

TIPS would decrease the pressure over the portal system and a decreased risk of complications, such as:

Esophageal varices ligation

Splenectomy

Ascites treatment

Liver transplantation

Surgical Interventions

Distal splenorenal shunt
Liver transplantation - The most definitive treatment of portal hypertension is a liver transplant.

References

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@@ Line 2: / Line 2: @@
 {{Portal hypertension}}
 {{CMG}}; {{AE}}
-{{PleaseHelp}}
 ==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==
-===Percutaneous Interventions===
+[[Surgery]] is not the first-line treatment option for patients with portal hypertension. [[Surgery]] is usually reserved for patients with either:
-[[Transjugular intrahepatic portosystemic shunt]]ing is the creation of a connection between the portal and the venous system. As the pressure over the venous system is lower than over a hypertensive portal system, this would decrease the pressure over the portal system and a decreased risk of complications.
+* Severe [[cirrhosis]]
+* [[Esophageal varices]]
+* [[Splenomegaly]]
+* [[Ascites]]
+* [[Liver failure]]
+===Transjugular intrahepatic portosystemic shunting===
+* [[Transjugular intrahepatic portosystemic shunt|Transjugular intrahepatic portosystemic shunting (TIPS)]] is bypassing the high flow rate of portal vein into the systemic veins.
+* [[TIPS]] would decrease the pressure over the [[portal system]] and a decreased risk of complications, such as:
+** [[Splenomegaly]]
+** [[Esophageal varices]]
+** [[Gastric varices]]
+** [[Collateral circulation|Collateral formations]]
+=== Esophageal varices ligation ===
+=== Splenectomy ===
+=== Ascites treatment ===
+=== Liver transplantation ===
 ===Surgical Interventions===