Portal hypertension surgery
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Portal Hypertension Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Portal hypertension surgery On the Web |
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American Roentgen Ray Society Images of Portal hypertension surgery |
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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:
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.