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Portal Hypertension

High pressure in the portal vein — the engine behind most cirrhosis complications.

Symptoms to watch
  • Vomiting blood (haematemesis)
  • Black, tarry stools (melena)
  • Distended belly veins
  • Enlarged spleen / low platelets
Our approach
  1. 01Risk-stratify with endoscopy + elastography + platelet count
  2. 02Primary and secondary prevention of variceal bleed (banding, beta-blockers)
  3. 03Acute bleed management with endoscopic haemostasis
  4. 04TIPS evaluation in coordination with interventional radiology
Common questions

How often should I get an endoscopy if I have cirrhosis?

Surveillance interval depends on whether varices are present and their size — typically every 1–3 years, individualised.

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