Portal Hypertension Surgery

Portal Hypertension Surgery India
(Package: $, 1 Days Stay)

Portal Hypertension is the hypertension, which is also understood as a high blood pressure, present in the portal vein system. The portal vein system consists portal vein and the associated tributaries and branches. Portal hypertension is caused from the hepatic venous pressure gradient elevation to the extent of greater than 5mmHg.

Causes for Portal Hypertension

The causes for the prehepatic blockage happening before the liver, at the portal vein are,

  • Congenital atresia
  • Stenosis
  • Portal vein thrombosis
  • Extrinsic compression, like tumors
  • Splenic vein thrombosis

The causes with hepatic are,

  • Chronic hepatitis
  • Cirrhosis
  • Nodular
  • Idiopathic portal hypertension
  • Schistosomiasis
  • Toxins
  • Granulomata
  • Fibropolycystic diseases, such as congenital hepatic fibrosis
  • Myeloproliferative diseases

Causes from posthepatic are,

  • Sclerosing hyaline necrosis
  • Budd chlari syndrome
  • Heart failure at right
  • Constrictive peridcarditis
  • Veno occlusive disease existing with smaller hepatic venules or veins

There are also other causes, apart from the above.

  • Hepatic blood flow increase, that may lead to splenic blood flow increase and hepatoportal arteriovenous fstula
  • idiopathic

Signs and Symptoms for Portal Hypertension

  • Ascites
  • Splenomegaly
  • Dilated veins present in the caput medusa and abdominal wall

The other signs of liver failure are,

  • Jaundice
  • Confusion
  • Small or enlarged liver
  • Hyperdynamic circulation signs
  • Testiculuar or gynaecomastia atrophy


Portal hypertension is diagnosed from many blood tests, scans, portal hypertension measurement, vascular imaging, liver biopsy and endoscopy.

Portal Hypertension Treatment

Portal Hypertension is difficult to treat. The treatment is usually recommended with liver transplantation and treatment of underlying cause.

So, the treatment can be done using drugging with beta blockers, nitrates and vasoactive drugs. Other treatment can be endoscopic procedure, which contains endoscopy, endoscopic vein ligation and optionally endoscopic variceal obturation for certain cases, like gastric varices resulting acute bleeding.

Another treatment is TIPS or Transjugular Intrahepatic Portosystemic Shunt, which is a radiological procedure. TIPS is usually preferred for ascites, hepatic hydrothorax, budd-chlari syndrome, hepatorenal syndrome and hepatopumonary syndrome.

When the above treatments cannot solve the problem, then the surgical procedure is preferred to perform.

Portal Hypertension Surgery

Surgical portosystemic shunts is the appropriate surgical procedure to treat the portal hypertension. The surgery has to be performed by the qualified and experienced surgeon. The shunts that are used can be partial, total or selective. During the procedure, the pressure of hepatic vein wedge is measured.

Devascularisation procedure involves transaction of gastro-oesophageal devascularisation oesophegeal and splenectomy.

Surgical shunts are also done for the portal hypertension. Shunt surgeries are helpful to redirect the blood flow, or occasionally happening fluid flow through abdomen through different areas of the body. Shunt surgical procedure are rarely performed, as there are many complications that may arise from it. So, this procedure must be done only by the qualified and experienced surgeon. The selection of the candidates for this procedures is also limited, like candidates with good function of the liver, non-liver transplant candidates, other treatments find no benefits, ascites candidates and who do not have enough medical care access.


The complications associated with the portal hypertension and or cirhhosis are the following.

  • Complications related to ascites, like hepatic hydrothorax, etc.
  • Bleeding happening from oesophageal vertices or gastric varices
  • Complications related to pulmonary complications
  • Hepatic encephalopathy
  • Liver failure
  • Cirrhotic cardiomyopathy

The complications that are associated with the shunt surgical procedures are mental function.

Cost of Portal Hypertension Surgery

The above Package Cost is a tentative Approximate Package Estimate, which includes initial investigations & specialists screening, stay in a Private Room wherein patient’s assistant or relative can also stay with patient, doctor / surgeon fee, nursing care, medicines & consumables, Airport Pick-Up & Drop. 

In order to access, exact estimate of treatment package cost, do email us at [email protected] all your medical reports.

On receiving your medical reports, we will revert to you within 24 Hours with right estimate package after getting your medical reports examined by best team of doctors at best hospitals in India. We will also assist you in traveling part, which includes, airfare booking, medical visa invitation, airport pick-up and drop, hotel stay & visit for any sightseeing. With our 10 years of expertise in delivering highly caring International Patients Assistance Services, you can completely rely on us in every step of your recovery. Our all International Patient Assistance Services are absolutely FREE!!! as World Health Expert India (WHXI) is an official associate of India’s Best Hospitals & Specialists.


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