Robotic GI & Bariatric Surgery Specialist — Max Hospital Dwarka, Delhi
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Home › GI Surgery › Portal Hypertension Surgery

Surgery for Portal Hypertension

Surgical shunts when endoscopic techniques fail to control variceal bleeding.

About This Procedure

Portal hypertension — elevated pressure in the portal venous system — causes dangerous varices that can rupture and bleed. When medical and endoscopic management fails, surgical intervention provides definitive relief.

Low rebleeding rates (5–10%) • TIPS coordination available • Liver transplant referral when needed

Portal Hypertension Surgery

What to Expect

Understanding the Condition

  • Portal vein carries blood from gut to liver
  • Liver disease increases resistance to blood flow
  • Varices develop in esophagus, stomach, rectum
  • 25–30% of cirrhosis patients develop variceal bleeding
  • 15–20% mortality per bleeding episode

Surgical Options

  • Distal Splenorenal Shunt (DSRS) — selective decompression
  • Proximal splenorenal shunt — total decompression
  • Sugiura devascularization procedure
  • Coordination with interventional radiology for TIPS
  • Liver transplant evaluation when needed

Assessment & Outcomes

  • Child-Pugh & MELD scoring
  • CT angiography of portal system
  • Post-surgical rebleeding rates: 5–10%
  • Significant quality of life improvement
  • Multi-disciplinary hepatology team

Why Choose Dr. Wadhawan for Portal Hypertension

Expert portal hypertension management
Multiple surgical shunt options
Low rebleeding rates (5–10%)
Thorough pre-operative assessment
TIPS coordination available
Liver transplant referral when needed

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Expert portal hypertension management with multi-disciplinary hepatology care at Max Hospital, Dwarka.

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