Portal Hypertension Surgery
The liver filters venous blood from abdominal organs. It filters the nurtients absorbed by the intestines. This blood is carried to the liver through a vein called Portal vein. In patients who develop Cirrhosis of liver, the liver becomes more fibrotic and loses the ability to filter the blood, instead obstructs the return of blood to the heart. This condition is called Portal hypertension where blood is backed up in the portal vein. As a result of portal hypertension, you may develop ascites ( fluid build up in the abdomen ) enlarged spleen, gastrointestinal bleed from variceal bleed ( blood engorged veins ).
If you present with variceal bleed due to portal hypertension, the immediate treatment is blood transfusion, endoscopic control of bleeding vessel. For long term management in preventing future bleeding from portal hypertension, an operation called Porto- Caval shunt is recommended as this shunts the blood from portal vein to inferior vena cava and prevents engorgement of the portal vein. Hepatobiliary team with Dr. Sukharamwala at St Joseph Hospital is only a few centers in the United States where porto-caval shunt surgery is performed.
Please call 813-879-5010 to learn more details of this operation.