I recently contributed to new Australian guidelines on the diagnosis and management of portal hypertension, published in Hepatology Communications. It was a privilege to collaborate with liver specialists from across the country to develop practical, evidence-based recommendations that improve patient care.
What is portal hypertension?
Portal hypertension is increased pressure in the vein that carries blood to the liver. It is most commonly caused by chronic liver disease, especially cirrhosis.
It can lead to:
- Enlarged veins in the oesophagus or stomach (varices)
- Fluid in the abdomen (ascites)
- Confusion related to liver disease (hepatic encephalopathy)
What’s changed in the new guidelines?
The key focus is earlier diagnosis and prevention.
Doctors are now encouraged to:
- Use non-invasive tests to detect portal hypertension earlier
- Identify high-risk patients sooner
- Start treatments (such as beta blockers) before complications develop
Why this matters
Previously, treatment often began after complications occurred.
The new approach focuses on preventing problems before they start.
For patients, this means:
- Earlier intervention
- Better long-term outcomes
- Fewer hospitalisations
Portal hypertension care in Brisbane
As a gastroenterologist in Brisbane, I incorporate these latest guidelines into everyday practice. My focus is on:
- Early detection of liver disease
- Personalised risk assessment
- Preventative treatment strategies
When should you see a specialist?
You should consider review if you have:
- Known liver disease or cirrhosis
- Abnormal liver tests
- Symptoms such as abdominal swelling or unexplained fatigue
Final thoughts
Contributing to these national guidelines was a rewarding experience, and it reinforces my commitment to providing evidence-based, up-to-date care.
If you’re concerned about liver health or portal hypertension, early assessment can make a significant difference.