PROCEDURES
Portal Hypertension Management & Banding
What is portal hypertension?
Portal hypertension is a serious complication of progressive liver disease that can result in internal bleeding and other significant health issues if not managed promptly. It is defined as elevated blood pressure within the portal vein. Obstruction or restricted blood flow in the portal vein increases pressure throughout the portal venous system. In response, the body redirects blood flow to alternative veins, causing these veins to expand, dilate, and weaken. This process may lead to fluid leakage into the abdomen and, in severe cases, rupture and bleeding of the affected veins.
Portal hypertension is considered a severe health complication and may become life-threatening, especially if internal bleeding occurs. Increased portal pressure leads to greater vein enlargement and a higher risk of rupture.
What are the main signs of portal hypertension?
Symptoms typically emerge only after complications develop. Early signs are associated with abnormally dilated, leaky, and bleeding veins, including the following:
- Traces of blood in the vomit
- Traces of blood in faecal matter
- Bloating
- Swelling in the feet and legs
How do you manage portal hypertension?
Most treatments focus on managing complications arising from portal hypertension and include the following options:
Endoscopy
Endoscopy is a minimally invasive procedure that utilizes a flexible scope (endoscope) equipped with a light and camera. Advanced endoscopic techniques include sclerotherapy and banding. Sclerotherapy involves injecting a solution into bleeding varices to control hemorrhage. Banding uses small rubber bands to occlude bleeding varices.
These treatments require regular follow-up to monitor the condition and detect potential complications. Ongoing assessment ensures continued treatment effectiveness. After the initial follow-up, physicians may order blood tests to evaluate overall liver function.
For information regarding eligibility for endoscopic variceal ligation (banding) for portal hypertension, as well as details on the associated risks and benefits, please contact the medical team directly.
Frequently Asked Questions
All disease
begins in the gut.
