• In patients with portal hypertension secondary to portal cirrhosis, the main purpose of surgical portalsystem decompression is the prevention of future variceal hemorrhage. Experience with 57 patients having esophageal varices and histological proof of portal cirrhosis (with 48 similar patients used as a control group) showed that, while it is strictly a prophylactic procedure producing no objective or subjective improvement in the basic pathology, the shunting operation is remarkably effective as measured by the postoperative transfusion requirements. The surgical mortality rate was small enough to make portalsystem decompression practicable where definitely indicated.
Palmer ED, Jahnke EJ, Hughes CW. EVALUATION OF CLINICAL RESULTS OF PORTAL DECOMPRESSION IN CIRRHOSIS. JAMA. 1957;164(7):746–748. doi:10.1001/jama.1957.02980070028006
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