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September 1966

Duodenal Varices Treated by Portacaval Shunt

Author Affiliations

From the departments of surgery, the Lankenau Hospital and the Women's Medical College Hospital of Pennsylvania, Philadelphia.

Arch Surg. 1966;93(3):425-427. doi:10.1001/archsurg.1966.01330030055012

BLEEDING from esophageal varices in patients with portal hypertension and cirrhosis of the liver is not an uncommon occurrence. Bleeding from duodenal varices in patients with portal hypertension and cirrhosis of the liver must be recognized quite infrequently since only five previous case reports have been found in the literature. Perchik and Max1 from Strong Memorial Hospital reported in detail on a patient with bleeding duodenal varices associated with portal hypertension and cirrhosis of the liver, but unfortunately, the patient bled to death before portasystemic shunt could be achieved. Alberti2 reported three cases of duodenal varices in 1931 and described the radiological findings. He also reported3 a fourth case in which the patient was operated upon and treated by gastrojejunostomy. Bleeding occurred on four occasions subsequent to operation, but the patient was alive one year later.

The cases to be reported here were not diagnosed preoperatively. In

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