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Article
November 1967

Operative Hemodynamic Studies in Portal HypertensionSignificance and Limitations

Author Affiliations

New York
From the A. H. Blakemore Laboratory of Surgical Research; the Surgical Service, Presbyterian Hospital; and the Department of Surgery, College of Physicians and Surgeons, Columbia University, New York.

Arch Surg. 1967;95(5):843-852. doi:10.1001/archsurg.1967.01330170151019
Abstract

IT has been hoped that as hepatic and splanchnic hemodynamics were more precisely measured in hepatic cirrhosis with portal hypertension, a rational basis for treatment would evolve. To this end hemodynamic studies have been carried out usually with operative measurements of portal pressure combined with preoperative or postoperative indirect estimations of hepatic blood flow. On the basis of the results of such studies attempts have been made to characterize the diverse patterns of hemodynamic pathology in hepatic cirrhosis, to select the proper operative procedure for a given patient and to gain a better understanding of the postoperative complications that accrue from portal systemic shunting procedures. However, these attempts have been only partially successful. The difficulties of interpreting indirect measurements of hepatic blood flow in cirrhosis and particularly in the individual who has undergone a side-to-side type of portal systemic shunt point up the value of studies with direct measurements of

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