Portal Hypertension - ECAB - 1st Edition - ISBN: 9788131215241, 9788131231814

Portal Hypertension - ECAB

1st Edition

Editors: Abraham Koshy
Print ISBN: 9788131215241
eBook ISBN: 9788131231814
Imprint: Elsevier India
Published Date: 13th March 2008
Page Count: 112



Defined as a portal pressure of 12 mmHg or more, portal hypertension results from a combination of increased intrahepatic vascular resistance and increased blood flow through the portal venous system. Esophagogastric varices is the most important complication of severe portal hypertension because of the high risk of bleeding and mortality associated with them. Ascites is another important complication which may at times be refractory to treatment and may also get complicated by spontaneous bacterial peritonitis and hepatorenal syndrome. Portal hypertension is a predictable and preventable condition but has no definite cure. An aggressive approach to prevention and treatment of portal hypertension is therefore warranted.

Treatment of portal hypertension is evolving rapidly and many changes in the therapeutic protocols have been incorporated in recent times. Endoscopic treatment of the bleeding varices and prophylactic role of beta-blockers to prevent rebleeding are well-established therapeutic options. The measurement of the hepatic venous pressure gradient may identify a suboptimal response to beta-blockers in patients at risk of bleeding from varices. However, the costeffectiveness of routine hepatic venous pressure gradient measurements to guide primary prophylaxis has not been examined. Besides these, there is a definite role of somatostatin analogs and shunt surgeries in the treatment of portal hypertension and its complications.

This book is designed to update the reader on all such issues related to diagnosis, treatment and complications of portal hypertension along with supportive typical case scenarios. Thus it provides an excellent opportunity to widen one’s perspective in this area.

Table of Contents


Role of Portal Pressure Measurement in the Management of Complications of Cirrhosis

Management of Portal Hypertensive Bleeding

Endoscopic Management of Portal Hypertension

Shunt Surgery in Portal Hypertension


Forthcoming Books


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Elsevier India
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About the Editor

Abraham Koshy

Affiliations and Expertise

Director of Hepatology, Digestive Diseases Centre, Lakeshore Hospital & Research Centre Ltd., Cochin 682304, Kerala