Portal hypertension surgery: Difference between revisions
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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: | [[Surgery]] is not the first-line treatment option for patients with portal hypertension. [[Surgery]] is usually reserved for patients with either:<ref name="pmid7618313">{{cite journal| author=Collins JC, Sarfeh IJ| title=Surgical management of portal hypertension. | journal=West J Med | year= 1995 | volume= 162 | issue= 6 | pages= 527-35 | pmid=7618313 | doi= | pmc=1022831 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7618313 }}</ref> | ||
* Severe [[cirrhosis]] | * Severe [[cirrhosis]] | ||
* [[Esophageal varices]] | * [[Esophageal varices]] |
Revision as of 22:16, 9 November 2017
Portal Hypertension Microchapters |
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Treatment |
Case Studies |
Portal hypertension surgery On the Web |
American Roentgen Ray Society Images of Portal hypertension surgery |
Risk calculators and risk factors for Portal hypertension surgery |
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
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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
- 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.