Distal splenorenal shunt (DSRS): A surgical procedure that connects the splenic vein to the left kidney vein in order to reduce pressure in your varices and control bleeding.ĭuring the TIPS procedure, a radiologist makes a tunnel through the liver with a needle, connecting the portal vein (the vein that carries blood from the digestive organs to the liver) to one of the hepatic veins (the 3 veins that carry blood from the liver).Transjugular intrahepatic portosystemic shunt (TIPS): A radiological procedure in which a stent (a tubular device) is placed in the middle of the liver.If the first level of treatment does not successfully control your variceal bleeding, you may require one of the following decompression procedures to reduce the pressure in these veins. Your dietitian will help you create a meal plan that helps you follow these dietary guidelines. Reduced protein intake is required only if confusion is a symptom. You will probably be required to consume no more than 2 grams of sodium per day. Follow the dietary guidelines given to you by your physician or nurse.Some medications may make liver disease worse, and they may interfere with the positive effects of your other prescription medications. Do not take any over-the-counter or prescription drugs without first consulting with your physician or nurse.Some of the things you can do to improve the function of your liver include the following: Maintaining good nutritional habits and keeping a healthy lifestyle will help your liver function properly. This medication has the ability to increase the amount of bowel movements you will have per day. The drug lactulose can help treat confusion and other mental changes associated with encephalopathy. Medications such as propranolol and isosorbide may be prescribed to lower the pressure in the portal vein and reduce the risk of recurrent bleeding. Medications such as beta blockers or nitrates may be prescribed alone or in combination with endoscopic therapy to reduce the pressure in your varices and further reduce the risk of recurrent bleeding. Banding is a procedure in which a gastroenterologist uses rubber bands to block the blood supply to each varix (enlarged vein). Sclerotherapy is a procedure performed by a gastroenterologist in which a solution is injected into the bleeding varices to stop or control the risk of bleeding. ![]() Dietary and lifestyle changes are also important.Įndoscopic therapy consists of either sclerotherapy or banding. When you are first diagnosed with variceal bleeding, you may be treated with endoscopic therapy or medications. Once the bleeding episode has been stabilized, treatment options are prescribed based on the severity of the symptoms and on how well your liver is functioning. ![]() The effects of portal hypertension can be managed through diet, medications, endoscopic therapy, surgery, or radiology. What are the treatment options for portal hypertension? Reduced levels of platelets or decreased white blood cell count. ![]()
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