Surgical Treatment of Portal Hypertension

  • B. Langer
Part of the Topics in Gastroenterology book series (TGEN)


Portal hypertension occurs commonly in patients with liver disease and by itself is of little clinical significance. Only when the major life-threatening complication—bleeding esophageal varices—occurs does it become clinically important. At that point, the attending physician must have a good understanding of the pathophysiology of elevated portal venous pressure, the associated complicating factors in patients with chronic liver disease, the therapeutic choices available (both for the acute and for the long-term management of the bleed), and the results of treatment one can expect so that the best decisions can be made in the individual patient’s situation. This chapter will deal mainly with the surgical options but I will also touch on nonsurgical therapy (in as objective a fashion as possible) in order to put surgery into what I consider its proper perspective.


Portal Hypertension Esophageal Varix Portal Pressure Portacaval Shunt Splenorenal Shunt 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Plenum Publishing Corporation 1989

Authors and Affiliations

  • B. Langer
    • 1
  1. 1.Department of SurgeryUniversity of TorontoTorontoCanada

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