84. Portal Hypertension

  1. Enrico Ascher MD2,3
  1. Ian C. Carmody and
  2. John C. Bowen MD

Published Online: 1 OCT 2012

DOI: 10.1002/9781118481370.ch84

Haimovici's Vascular Surgery, 6th Edition

Haimovici's Vascular Surgery, 6th Edition

How to Cite

Carmody, I. C. and Bowen, J. C. (2012) Portal Hypertension, in Haimovici's Vascular Surgery, 6th Edition (ed E. Ascher), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118481370.ch84

Editor Information

  1. 2

    Lutheran Medical Center, New York, NY, USA

  2. 3

    Mount Sinai School of Medicine, New York, NY, USA

Author Information

  1. Department of Surgery, Ochsner Clinic Foundation, New Orleans, LA, USA

Publication History

  1. Published Online: 1 OCT 2012
  2. Published Print: 30 AUG 2012

ISBN Information

Print ISBN: 9781444330717

Online ISBN: 9781118481370



  • portal hypertension, cirrhosis etiology, from alcohol and viral hepatitis;
  • portal hypertension, formidable, challenging surgeons;
  • TIPS, reducing emergency surgery, DSRS shunt, and mesocaval shunt in some;
  • balance, vasoconstrictor endothelin-1/vasodilator nitric oxide, intrahepatic resistance;
  • portosystemic collaterals form varices, and prolonged portal hypertension;
  • postsinusoidal portal, and BCS, by stenosis, VOD, esophagogastroduodenoscopy;
  • Mayo End-stage Liver Disease or MELD score, and Doppler ultrasound;
  • hepatic venogram and vena cavagram, in BCS diagnosis/management;
  • ascites, common findings in patients with portal hypertension;
  • portal hypertension in children, variceal bleeding as common presentation


This chapter contains sections titled:

  • Historical background

  • Anatomy and pathophysiology

  • Etiology of portal hypertension

  • Evaluation of patients with portal hypertension

  • Complications of portal hypertension

  • Surgical techniques

  • Budd-chiari syndrome

  • Portal hypertension in children

  • Devascularization and esophageal transection

  • Liver transplantation

  • References