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March 25, 1974

Portal Hypertension

JAMA. 1974;227(12):1423-1424. doi:10.1001/jama.1974.03230250047035

The current (March 1974) issue of the Archives of Surgery contains a series of articles—a symposium—on the subject of portal hypertension, a condition of increasing frequency consequent to the growing incidence of alcoholic liver disease in the United States. The topics presented include the following:

  • An assessment of the current status of hemodynamic measurements of the hepatic circulation in selection of patients for portal-systemic shunt.

  • An analysis of the systemic cardiovascular abnormalities associated with portal hypertension and comments on the treatment of these disturbances.

  • Histologic criteria, obtained from needle biopsy of the liver, for selecting patients for portacaval shunt.

  • Early results of a prospective, randomized comparison of therapeutic portacaval shunt and medical therapy in selected good-risk patients who have bled from esophageal varices.

  • Emergency medical therapy of bleeding esophageal varices by selective mesenteric arterial infusion of vasopressin.

  • Early results of new techniques of portal