The Surgical Treatment of Bleeding Esophageal Varices by Portal Systemic Venous Shunts With a Report of 34 Cases

Article1 November 1949THE SURGICAL TREATMENT OF BLEEDING ESOPHAGEAL VARICES BY PORTAL SYSTEMIC VENOUS SHUNTS WITH A REPORT OF 34 CASESROBERT R. LINTON, M.D., F.A.C.S.ROBERT R. LINTON, M.D., F.A.C.S.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-31-5-794 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptEsophageal varices develop spontaneously because of obstruction to the return of the portal blood to the systemic venous system. The site of the portal bed block may be either in the liver, the intrahepatic type secondary to portal cirrhosis, or in the portal vein itself, the extrahepatic type, as seen in the so-called Banti's syndrome (table 1). The block in the former develops as a result of scarring in the liver parenchyma. It occurs most frequently in cases of alcoholic and other forms of toxic cirrhosis and is the more common type. Thrombosis of the hepatic vein is another cause...Bibliography1. WHIPPLE AO: Problem of portal hypertension in relation to hepatosplenopathies, Ann. Surg., 1945, cxxii, 449. CrossrefGoogle Scholar2. WANGENSTEEN OH: The ulcer problem (Listerian oration), Canad. Med. Assoc. Jr., 1945, liii, 309. Google Scholar3. WOLF G: Die Erkennung von Ösophagus-Varizen im Röntgenbilde, Fortschr. a.d. Geb. d. Röntgenstr., 1928, xxxvii, 890. Google Scholar4. SCHATZKI R: Roentgen demonstration of esophageal varices—its clinical importance, Arch. Surg., 1940, xli, 1084. CrossrefGoogle Scholar5. PREBLE RB: Conclusions based on sixty cases of fatal gastro-intestinal hemorrhage due to cirrhosis of the liver, Am. Jr. Med. Sci., 1900, cxix, 263. CrossrefGoogle Scholar6. RIVERSWILBUR ABDL: The diagnostic significance of hematemesis, Jr. Am. Med. Assoc., 1932, cxxxv, 1629. CrossrefGoogle Scholar7. COSTELLO C: Massive hematemesis—analysis of 300 consecutive cases, Ann. Surg., 1949, cxxix, 289. CrossrefGoogle Scholar8. SHULL HJ: Personal communication of unpublished data. Google Scholar9. ROWNTREEZIMMERMANTODDAJAC LGEFMHJ: Intra-esophageal venous tamponage. Its use in a case of varical hemorrhage from the esophagus, Jr. Am. Med. Assoc., 1947, cxxxv, 630. CrossrefGoogle Scholar10. ECK NV: The ligature of the portal vein, Voyenno Med. Jr. St. Petarb., 1877, i, 130. Google Scholar11. BLAKEMORELORD AHJW: The technic of using vitallium tubes in establishing portacaval shunts for portal hypertension, Ann. Surg., 1945, cxxii, 476. CrossrefGoogle Scholar12. LINTONJONESVOLWILER RRCMW: Portal hypertension—the treatment by splenectomy and splenorenal anastomosis with preservation of the kidney, Surg. Clin. N. Am., 1947, xxvii, 1162. CrossrefGoogle Scholar13. LINTONHARDYVOLWILER RRIBW: Portacaval shunts in the treatment of portal hypertension—an analysis of 15 cases with special reference to the suture type of end-to-side splenorenal anastomosis with splenectomy and preservation of the kidney, Surg., Gynec. and Obst., 1948, lxxxvii, 129. Google Scholar14. BLAKEMORE AH: Indications for portacaval anastomosis—analysis of cases, Surg., Gynec. and Obst., 1947, lxxxiv, 645. Google Scholar15. LINTON RR: Portacaval shunts in the treatment of portal hypertension, New Eng. Jr. Med., 1948, ccxxxviii, 723. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brookline, Massachusetts*Presented at the Thirtieth Annual Session of the American College of Physicians, New York, N. Y., March 31, 1949.From the Departments of Surgery of the Harvard Medical School and the Massachusetts General Hospital, Boston, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBleeding esophageal varicesPortal HypertensionÜber den Pfortaderhochdruck und seine chirurgischen IndikationenAnhang: Milzvenenstenose, hämodynamische MilzdekompensationThe surgery of portal cirrhosis of the liverRelation of hemorrhage from varices to mortality in cirrhosisDie intraoesophageale Umstechung blutender OesophagusvaricenIncidence and Diagnosis of Esophageal Varices in Cirrhosis of The Liver: An Esophagoscopic Study�ber Indikation und Wirkung der Milzentfernung mit Ligatursperre der kardialen Venen bei Hypertonie im PfortaderkreislaufDie Krankheiten der Leber und der GallenwegeDie Messung der portalen HypertensionEvaluation of the Peritoneal-Button Operation for AscitesPortal Hypertension 1 November 1949Volume 31, Issue 5Page: 794-804KeywordsAlcoholicsBloodCirrhosisHemorrhageLiverPortal veinsSurgeryVeins ePublished: 1 December 2008 Issue Published: 1 November 1949 PDF downloadLoading ...