| Autor: |
FAHY, DONALD G., SCHIRMER, JACOB F., BOWERS, WARNER F. |
| Zdroj: |
Archives of Surgery; April 1956, Vol. 72 Issue: 4 p583-594, 12p |
| Abstrakt: |
INTRODUCTION The literature dealing with surgical aspects of portal hypertension in the past few years has been voluminous, and the ideas expressed have been sufficiently divergent that some doubt has arisen as to the validity of the feeling that portacaval anastomosis is beneficial and worth while. Our work in this complicated field has been predicated on the philosophy that cirrhosis of the liver or some other cause of portal hypertension is outside the scope of surgical attack and that our narrow sphere of usefulness to the patient lies in prevention of death from esophageal varix hemorrhage secondary to the obstruction to portal flow. Thus, our approach is a mechanical one, based on an attempt to reduce portal pressure to the point where esophageal varices disappear or have such a reduced pressure that they are unlikely to erode or rupture and bleed. We therefore have put great emphasis on pre- and |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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