Type of Surgery

Information

Doctor Certified

Last updated: 02/17/2009

Aftercare

The patient is connected to a heart monitor and fed through a nasogastric tube. Vital functions are monitored through blood and urine tests. Patients receive pain medication and antibiotics. Once released from the hospital, patients are expected...

to abstain from alcohol and to follow a diet and medication schedule designed to reduce the risks of bleeding.



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Portal vein bypass surgery diverts blood from the portal vein into another vein. It is performed when pressure in the portal vein is so high that it causes internal bleeding from blood vessels in the esophagus.

Purpose

The portal vein carries blood from the stomach and abdominal organs to the liver. It is a major vein that splits into many branches. High pressure in the portal vein causes swelling and bleeding from blood vessels in the esophagus. This situation occurs when the liver is damaged from cirrhosis of the liver, a condition usually caused by prolonged, excessive alcohol consumption.

Massive internal bleeding caused by high pressure in the portal vein occurs in about 40% of patients with cirrhosis. It is initially fatal in at least half of these patients. Patients who survive are likely to experience bleeding recurrence. Portal vein bypass, also called portacaval shunting, is performed on these surviving patients to control bleeding.


From http://www.lifesteps.com/gm/Atoz/ency/portal_vein_bypass.jsp

Other Information

We are trying to balance those kinds of losses with the profitable side of business, which includes doing more cardiac surgeries. An emphasis has been placed on cardiac care because the medium age of residents is increasing, and more people are showing up with symptoms of heart disease.


-Kevin M. Spiegel

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