Portal Hypertension, Ascites, Hepatorenal Syndrome, and encephalopathy

I have considerable experience in the management of complications of cirrhosis. The development of cirrhosis leads to portal hypertension which causes the development of dilated veins in the oesophagus or stomach (oesophageal or gastric varices), the development of fluid in the peritoneal cavity (ascites which can become infected), hepatorenal syndrome (acute kidney failure) or hepatic encephalopathy (mental confusion, slowing and sleep disturbance). Treatment of these complications is straightforward although some patients respond poorly to treatment or develop lots of side effects.