The cure of the principal and most lethal consequence of portal hypertension, variceal bleeding, has long been the domain of surgeons and lately of procedure-oriented endoscopists. This situation has dramatically changed because of three important, intertwined developments: clinician with important information on factors such as tolerance of portosystemic shunt surgery, likelihood of bleeding and probability of survival (2). Reviews of the different methods to measure flow and pressure are available (3-5). Several advances in the past few years
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Jürg Reichen (1990) studied this question.
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