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To the Editor:—
Your editorial entitled "Liver Death a Hepatorenal Syndrome" (The Journal, January 23, p. 301) directs attention to a very important subject. The discussion following the mention of the three groups is confined largely to the second and third groups, in which death is due to uremia rather than to cholemia and in which a substitution of the term "hepatorenal syndrome" for "liver death" would tend to diminish confusion. In view of the fact that in group 1 death follows not only cholecystectomy but likewise cholecystostomy and other operations not related to the biliary tract, and that it also occurs under certain circumstances without an antecedent operation, the matter of "trauma to the liver" would seem to be a comparatively unimportant factor, with relationship of the liver quite uncertain. Therefore the descriptive term "rapid high temperature death" might very well replace that of "liver death" until more exact
Connell FG. "LIVER DEATH A HEPATORENAL SYNDROME". JAMA. 1937;108(9):746. doi:10.1001/jama.1937.02780090058023
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