Fig. Portal Hypertension
Symptoms & DiagnosisPortal hypertension surgery is done due to the increase in blood pressure in the veins. Portal hypertension is the increase in the blood pressure through the portal venous system. Veins from stomach, intestine, pancreas merge into a portal vein. The increase in the blood pressure in this veins causes portal hypertension.
The main symptoms includes stool in blood, or gastrointestinal bleeding, vomiting of blood, poor liver function, reduced platelets, reduced white blood cells.
Physical exam is done on the anus and abdomen, Various lab tests, including endoscopy and X-ray tests are done.
Treatment and Recovery:
There are two methods of the surgeries which includes:
In patients with hemodynamically significant upper gastrointestinal (GI) tract bleeding, a nasogastric tube should remain in place for 24 hours to assist in identifying any rebleeding. Gastric lavage may be performed frequently through the nasogastric tube, and the volume and appearance of material aspirated from the stomach should be recorded. Do not allow any food by mouth.
Initial volume resuscitation with or without blood product transfusion, together with medical treatment to reduce portal pressure (ie, anti-secretory agent infusion) should be promptly initiated in the emergency department. A transfer may be necessary if endoscopic treatment and/or surgical treatment are not readily available. If possible, transfer patients with uncontrollable bleeding from portal hypertension; these individuals should be sent to a tertiary center with a liver transplantation service.
Recovery or the effects of the portal hypertension is managed through medications, endoscopic therapy, and proper diet.