Portal Hypertension Treatment in Mumbai

Portal Hypertension does not show symptoms in the beginning. If someone experiences any of the symptoms of the disease, it denotes that the situation is critical. Visiting Dr. Gaurav Gupta for Portal Hypertension treatment in Mumbai is an excellent option.

Dr. Gaurav Gupta is one of the leading surgeons for liver transplant in Mumbai. He is presently associated with Fortis Hospitals as a Head of the Liver Transplant and HPB Surgery Department. He has rich surgical experience and has handled complicated cases of Liver Transplant across India.

What is Portal Hypertension and how does it affect us?

Portal hypertension is when the pressure inside the portal vein rises. It is because obstruction in the blood flow via the liver causes the pressure to rise.

Increased pressure in the portal vein causes prominent veins (varices) to form across the esophagus and stomach to get past the obstruction. The varices become weak and prone to bleeding.

If a patient is suffering from this complication, he or she should visit Dr. Gaurav Gupta. 

What are the causes of developing Portal Hypertension? 

Liver scarring or cirrhosis is the most prevalent cause of portal hypertension. Cirrhosis occurs when a liver injury from hepatitis, alcohol overconsumption or different other liver damage causes. Cirrhosis causes scar tissue to form in the liver, obstructing blood flow and impairing the patient’s liver’s function.

Thrombosis, or a portal vein blood clot, can also lead to portal hypertension.

What are the signs and symptoms of the disease?

There can be no symptoms of portal hypertension in the beginning. So, it is not easy to reveal what is going on in the liver. However, if the patient has a liver disease that progresses to cirrhosis, then he or she is more likely to get portal hypertension.

The following are the most common signs and consequences of portal hypertension –

  • Black, tarry stools or blood in the stools and blood vomiting from varices that have spontaneously ruptured and bled.
  • features of hypersplenism- low platelet count, anemia, and low White Blood cell count.
  • A fluid buildup in the abdomen, known as Ascites.
  • Poor liver function and a diversion of blood flow away from the liver, which causes confusion and amnesia.

Different Portal Hypertension types:

Pre hepatic: It occurs from a blockage in the patient’s portal vein before the liver.

Intrahepatic:  It occurs from the damage in the patient’s liver structure.

Post hepatic: It occurs when there is a blockage in the vein outside the patient’s liver.

Who is likely to get the disease? 

Portal hypertension is more common in people who have a high risk of liver disease and cirrhosis. Cirrhosis is more frequent in males than females. People over the age of 50 are more prone to acquire it.

Several other reasons can cause cirrhosis. Like –

Diagnosis of the disease: 

If symptoms aren’t apparent, diagnosing Portal Hypertension might be tricky. Screenings like a doppler ultrasound can be beneficial. An ultrasound can indicate the state of the portal vein and the flow of blood through it. A CT scan may be helpful if an ultrasound is unclear.

An assessment of the flexibility of a patient’s liver and surrounding tissue is another screening approach that is becoming increasingly popular. When tissue is pressed or probed, elastography is used to determine how it reacts. A lack of flexibility indicates the presence of illness.

If someone has gastrointestinal bleeding, the doctor will most likely perform an endoscopic examination. This procedure includes using a small, flexible gadget with a camera on one end that lets the doctor view the interior organs. All such diagnostic facilities are available.

What are the treatment options available for a patient? 

There are some types of portal hypertension that can be cured by surgery. Following are the name of the surgeries:

  • Portosystemic Shunt: Portosystemic shunt is type of surgery where  portovenous system is bypassed to systemic venous system. This bypass blood flow from high pressure portosystemic circulation to systemic circulation decreasing pressure in portal system and hence relieving portal hypertension features.

Two most common types of shunt performed are

  1. Distal Splenorenal shunt
  2. Proximal Splenorenal shunt

Other non-surgical treatment options are:

Lifestyle adjustments can aid in the treatment of Portal Hypertension:

  • enhancing the diet with nutrients
  • avoiding alcoholic beverages
  • regular physical activity
  • If a patient smokes, he or she should consider stopping.

Beta-blockers and other medications are also helpful in lowering portal pressures. Other drugs, such as propranolol and isosorbide, may also assist in reducing portal vein pressure. They can also help to prevent further internal bleeding.

If someone has ascites, the doctor may prescribe a diuretic to help lower the amount of fluid in the body. One should limit sodium intake to minimize fluid retention.

TIPSS, as an effective procedure, can control sudden bleeding. It allows blood to flow from the portal vein into other blood arteries via new routes.

Frequently Asked Questions

What is sclerotherapy, and how does it work?

Sclerotherapy is a treatment in which a doctor injects a substance into blood or lymph arteries to force them to constrict. It’s widely used to treat varicose veins and esophageal varices.

Does Spleen has to be removed in all patients?

Spleen is removed as part of shunt surgery in the proximal splenorenal shunt. It is not removed in a distal splenorenal shunt. Doctors decide the best treatment modality depending upon the condition of the patient.

Are all portal hypertensive patients candidates for shunt surgery?

Not everyone is a candidate for shunt surgery. Only those patients with significant portal hypertension but normal liver functions can be a candidate for shunt surgery.


Ritesh Jain
Ritesh Jain
Dr Gupta and Swapnil sharma is a very caring and expertise in their field. They are also very supportive and helpful.The whole staff is so good and supportive they helped me a lot. They are God to me I want to thank both the doctors and their complete staff for giving me another life.
Mahalinga Kergal
Mahalinga Kergal
Sir It is my personal experience with Dr. Gupta who has given a new life to my brother Muthayya P Devadiga Ex-employee of Air India in the critical time (Covid 19 pendamic) in the March/April 2020 and recently ( March 2021) has carried out altogether three operations (surgery) successfully and prevented spreading further from cancer. He is a simple human being helped us during lockdown period on our behalf he has discussed with Air India - penal doctor - Dr. Aggraval and got the approval and carried out surgery. His timely help saved the patient life ( Muthayya P Devadiga). He is very kind person and good doctor. I pray almighty God bless him.
Pravin Gorana
Pravin Gorana
I was in my final semester of masters. I was having regular episodes of stomach pain. We consulted Dr. Gaurav Gupta after all the tests and when the reports came seeing all the the complications he guided us the best solution which will benefit me for the rest of life. I underwent surgery 3 months ago and today I m fit and fine doing all my work. He is not only the best liver surgeon but a great human too. He explained several times the consequences of my problem to mom and dad. And today I feel without your guidance sir it wouldn't be possible for us to take this decision. Dr. Gaurav Gupta and his whole team are just the finest doctors we have came across From the decision making of my operation to make me stand after the 1st day of surgery I can't describe it in words. I and my family Would be thankful for the rest of my life.
Bhagyesh Soni
Bhagyesh Soni
Excellent Surgeon...No words can describe their skills...'New life surgeon' word more suitable than liver surgeon.
Jay Brambhatt
Jay Brambhatt
We love the engaged enthusiastic, intelligent, up-to-date management of my situation by Dr. Gaurav Gupta and his team of excellent professionals at Fortis, Mumbai. He is a fountain of information. Just because of him and his staff helping, this onerous process has been bearable to us. Do give him a visit if you are looking for one of the best Liver transplant in Mumbai. Dr. Gaurav Gupta Sir’s nature is very simple and very caring to the patient. Dr. Gaurav Gupta Sir is a very noble surgeon, his personality is very commendable, we appreciate his service. He is one of the best Liver Transplant Surgeon ever.
Sarab Khanna
Sarab Khanna
Dr Gaurav Gupta & Dr Swapnil Sharma are the best liver transplant surgeon, yesterday it was one year of completing my dads liver transplant surgery. Dr Gaurav Gupta is extremely professional and had deep knowledge of the case. His team is also very professional as they guided us regarding the process and surgery. After undergoing surgery, the outcome is very good and we are very happy with the results.
Juili Shinde
Juili Shinde
Dr. Gaurav Gupta sir, Dr. Swapnil Sharma sir and their whole team of doctors and health care workers in Fortis hospital, Mulund provided us the best treatment and a reliable service. Such an expertise, be it clinical or hospitality is always recommendable and preferable. A huge gratitude towards the whole team.
Pravin Hatage
Pravin Hatage
They only post few successful operations. They don't post their failures.Be aware. Anyone living donour planning for transplant please contact me before.