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

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

Book a Consultation

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

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