Background: Cirrhosis is the end-stage of all chronic hepatic diseases leading to portal hypertension and its various manifestations. Besides, increase in resistance to portal venous flow, splenomegaly and ascites, portal hypertension is commonly associated with portosystemic collateral formation especially esophageal varices. Gastrointestinal bleeding from the esophagus is the commonest and most dreaded complication that develops over a period and requires endoscopy which is an expensive, invasive procedure. Color Doppler parameters of portal vein and splenic size can be used non-invasively to monitor the cirrhotic patients for development of portal hypertension and esophageal varices. Materials and methods: Our study included 50 patients above 18 years of age inclusive of both sexes with diagnosis of chronic liver disease or cirrhosis or portal hypertension with gastroesophageal varices. All patients underwent ultrasound and color doppler for evaluating portal venous parameters and splenic size as well as upper gastrointestinal endoscopy for detecting the presence of gastroesophageal varices with its grade. The data thus obtained was statistically analyzed using different tools and methods. Results: Our study group had a male predominance with 49 males and only one female. More than 60% patients in our study revealed gastroesophageal varices of varying grades on upper gastrointestinal endoscopy. Our study revealed statistically significant, positive correlation between portal hypertension and increasing portal vein diameter, mean portal vein velocity and splenic size without obvious correlation between gastroesophageal varices and type of portal flow. Conclusions: Color Doppler parameters of portal vein along with spleen size correlate well with severity of portal hypertension and risk of development of the gastroesophageal varices, the latter being the major cause of morbidity and mortality in patients of cirrhosis. Non-invasive nature of ultrasonography and color doppler allows monitoring of development of portal hypertension and its complications thus restricting the use of expensive & invasive, upper gastrointestinal endoscopy in patients requiring treatment of gastroesophageal varices. © 2022 Elsevier B.V., All rights reserved.