August 1990

Splanchnic Ischemia and Multiple Organ Failure

Author Affiliations

Irvine, Calif


edited by Adrian Marston, Gregory B. Bulkley, Richard G. Fiddian-Green, and Ulf H. Haglund, 407 pp, $79, St Louis, Mo, CV Mosby Co, 1989.

Arch Surg. 1990;125(8):1079. doi:10.1001/archsurg.1990.01410200145023

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The authors note that because of advances in the care of the critically ill, interest has reawakened in the potential of the alimentary tract as a focus of multiple organ failure. This book is presented as a synthesis of the new knowledge and exciting developments in the field that have taken place since the publication of Intestinal Ischemia in 1976. The authors include anatomists, physiologists, immunologists, along with physicians and surgeons, all of whom have had considerable interest in splanchnic ischemia.

The book is organized into four sections. Part I covers the normal state of the splanchnic circulation, including the gross and microscopic anatomy, mechanisms of regulation of blood flow and of absorption and insorption, and direct methods of measurement of flow.

Part II covers the causes and effects of disturbances of the normal state. A subsection includes the way mechanical vascular occlusion, vasospasm, and the release of vasopressor materials

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