Portal hypertension surgical indications what is it?

(1) medical therapy, balloon tamponade ineffective and difficult to use endoscopic sclerosis embolization for the treatment of acute hemorrhage. (2) recurring bleeding again. (3) there has not been bleeding, but the bleeding risk were high. For example, as part of varicose tracheal bifurcation above ≥ 6mm diameter, or string of beads shaped nodular there is a red sign; HVPG (hepatic vein pressure gradient)> 1.56kPa (12mmHg) esophageal venous pressure> hemodynamic (15 mmHg) or azygos vein blood flow were significantly increased. (4) obvious spleen hyperparathyroidism is a relative indication for surgery. (5) adapted to the liver function best with Child A, B patients relative indications, Grade C patients not considered for preventive surgery, only emergency surgery. Now that the first surgery to choose the appropriate devascularization, when considered invalid pass surgery.