-
We do what's right for you
We do what's right for you...
Mesenteric Caval Anastomosis
Mesenteric caval anastomosis is a specialized vascular and hepatobiliary surgical procedure performed at Moolchand Hospital, one of the best surgery and liver hospitals in Delhi. It is a form of portosystemic shunt surgery — a procedure that creates a direct connection between the high-pressure portal venous system and the low-pressure systemic venous system (inferior vena cava) to decompress portal hypertension.
Portal hypertension — elevated pressure in the portal venous system supplying the liver — is a serious complication of cirrhosis, portal vein thrombosis, hepatic fibrosis, and other liver diseases. It causes esophageal and gastric varices (dilated, fragile veins prone to catastrophic bleeding), ascites (fluid accumulation in the abdomen), splenomegaly (enlarged spleen with hypersplenism), and hepatic encephalopathy.
In mesenteric caval anastomosis, a surgical connection is created between the superior mesenteric vein (SMV) — draining blood from the small intestine — and the inferior vena cava (IVC) using a prosthetic graft (typically H-shaped or C-shaped using PTFE or Dacron) or direct anastomosis, effectively diverting portal blood flow away from the obstructed liver circulation and decompressing the portal system.
This procedure is particularly useful when the portal vein itself is thrombosed (making direct portocaval anastomosis impossible) or in the mesocaval shunt configuration. It is indicated for prevention of recurrent variceal hemorrhage resistant to endoscopic treatment, refractory ascites, and as a bridge to liver transplantation. Modern endovascular alternatives such as transjugular intrahepatic portosystemic shunt (TIPS) have largely replaced surgical shunts in many centers, but surgical mesenteric caval anastomosis remains valuable in selected patients where TIPS is technically not feasible or has failed.
At Moolchand Hospital in Lajpat Nagar Delhi, our vascular and hepatobiliary surgical team provides comprehensive assessment and individualized treatment planning for portal hypertension, offering both endoscopic, interventional radiological, and surgical shunting options.
Our team of globally acclaimed super specialists has pioneered several mesenteric caval anastomosis surgeries.
Dr. Santosh Kumar Tiwari
1,150
1,150
Senior Consultant
MBBS, DNB (Gene... 
19 Years 
Mon - Sat 
Routine health advice often reduces vitamin D to a simple supplement and a few minutes in the sun. That guidance is incomplete. The 25-OH vitamin D... Read More
Urine tests are often treated as pass or fail. That is a mistake. The real signal lies in context, patterns, and how one marker relates to the rest.... Read More
The standard advice is to drink more water and eat less red meat. That helps, but it often misses the underlying driver and the correct sequence of... Read More
Real patients...Real stories
Patients and their families from more than 50 countries around the world have benefited from our half-century old tradition of excellence in healthcare. Our excellence has led to Moolchand being a preferred choice for many VIP’s including international diplomats and business leaders. Here is what some of our patients have to say about their Moolchand experience.
Sarthak
Baby of Prashant Varshney
From Critical Illness to Full Recovery: The Moolchand Promise
Aarti V.
House wife
PCOS Support that Fits My Routine
Mohan K.
Ex -Service
Migraine Relief with Gentle Ayurveda
Ritu S
Business owner
Walking Easier with Knee Osteoarthritis
Mesenteric caval anastomosis
Mesenteric caval anastomosis is a vascular surgical procedure creating a connection between the superior mesenteric vein and the inferior vena cava to decompress portal hypertension, reduce variceal bleeding risk, and control refractory ascites in patients with liver disease.
1 Recommendations
