How is portal hypertension diagnosed?

Endoscopic examination, X-ray studies, and lab tests can confirm that you have variceal bleeding. Further treatment is necessary to reduce the risk of recurrent bleeding.

What tests are required before the TIPS and DSRS procedures?

Before receiving either of these procedures, you will have the following tests to determine the extent and severity of your portal hypertension:

Before either the TIPS or DSRS procedure, your physician may ask you to have other pre-operative tests, which may include an electrocardiogram (also called an EKG), chest X-ray, or additional blood tests. If your physician thinks you will need additional blood products (such as plasma), they will be ordered at this time.

Last reviewed by a Cleveland Clinic medical professional on 11/16/2017.


  • Merck Manual Home Health Handbook. Portal Hypertension Accessed 6/11/2018.
  • Miñano C, MD, Garcia-Tsao, G. Portal Hypertension. Gastroenterol Clin North Am. 2010 September; 39(3): 681–695.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy