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
Hussey HH. Portal Hypertension. JAMA. 1974;227(12):1423–1424. doi:10.1001/jama.1974.03230250047035
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