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Conditions We Treat: Portal Hypertension

Portal hypertension is elevated pressure in your portal venous system. The portal vein is a major vein that leads to the liver. The most common cause of portal hypertension is cirrhosis (scarring) of the liver.

Portal Hypertension: What You Need to Know

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  • If you have liver disease, you have an increased risk of portal hypertension (high pressure in your portal veins). Be aware of unusual symptoms.
  • Your doctor may perform an endoscopy to diagnose portal hypertension.
  • The main complications of portal hypertension is bleeding varices (varicose veins) and ascites (fluid in abdomen).
  • Treatment for portal hypertension includes medication, endoscopic treatment and in severe cases, liver transplantation.

Normally, the blood flows smoothly through the channels, but diseases such as cirrhosis cause the channels to become irregular or blocked. This makes it difficult for the blood to flow, causing increased pressure.

If the pressure becomes too great, and the normal pathways are blocked, then the blood backs up and travels throughout the body, causing varices (varicose veins) and hemorrhoids.

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Why choose Johns Hopkins Division of Gastroenterology and Hepatology for portal hypertension?