Interventional Radiology and Surgical Treatment Options for Non-Cirrhotic Portal Hypertension

Purposeof review Noncirrhotic portal hypertension (NCPH) consists of a heterogenous group of disorders that lead to portal hypertension (pHTN) in the absence of cirrhosis and can be best understood by their relationship to hepatic vascular anatomy. Here, we discuss the most common of these: portal vein thrombosis, porto-sinusoidal vascular disease, Budd-Chiari syndrome, and hepatic sinusoidal obstruction syndrome. Recent advances We provide a brief overview of each disorder and highlight recent advances in interventional radiology and surgical treatments. Although the former have improved outcomes, the latter may still be indicated in specific situations. Summary NCPH requires careful diagnostic and therapeutic evaluation. Treatments are evolving to be less invasive, leading to improved outcomes.