Portal hypertension surgery
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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.