Reasonable choice of therapy for the treatment of portal venous hypertension        LI Hong-wei, CHEN Hao. Department of Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
Corresponding  author ：Li Hong-wei, E-mai:hwli@263.cn
Abstract    It has been confirmed that the protocol of individualized treatment is instituted for patient with portal hypertension. Sufficient and objective evaluation of the reserve of hepatic function should be done before the treatment of portal venous hypertension. It is very important to monitor portal venous pressure in patients with portal venous hypertension. Hepatic venous pressure gradient is related significantly to survive and prediction of patient with portal hypertensive bleeding episodes. Liver transplantation is the best choice for patients with decompensation of hepatic function. However, for patients with compensation of hepatic function, expectant therapy or/and traditional operation should be used. For controlling acute bleeding, it is vascular drugs plus endoscopic therapy not transjugular intrahepatic portosystemic shunt which is recommended for the first-line choice. Surgical operations afford protection against variceal rehemorrhage with a low occurrence of encephalopathy and long-term survival for patients with Child A or B.