This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (69)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Retrospective Analysis of 127 Cases and Associated Clinical Implications

Arthur B. Voorhees, Jr., MD; John B. Price, Jr., MD

AMA Arch Surg. 1974;108(3):338-341.

Abstract
A retrospective study of 129 cases of extrahepatic portal hypertension was undertaken in an attempt to evaluate the relative merits of conservative versus surgical approaches to the condition. The complex interrelationships of multiple surgical procedures were untangled when possible, but the "need to intervene" has distorted the natural history of the disease so that statistical comparisons should be thought of as trends and not absolutes. There is obvious need for a prospective study of the disease; however, this must be developed as a multiinstitutional program because of the relatively low incidence of the disease and the great inconstancy of bleeding patterns in individual cases. Currently, the mesocaval shunt provides the best results and the esophagogastrectomy should be undertaken only in cases when a shunt is not possible and there is a high risk of massive bleeding from large varices.

Author Affiliations
New York

From the Department of Surgery, College of Physicians and Surgeons, Columbia University and the Presbyterian Hospital of New York.

Footnotes
Accepted for publication Oct 9, 1973.

Reprint requests to Columbia-Presbyterian Medical Center, 161 Fort Washington Ave, New York 10032 (Dr. Voorhees).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Extrahepatic portal vein thrombosis: aetiology and determinants of survival
Janssen et al.
Gut 2001;49:720-724.
ABSTRACT | FULL TEXT  

Free jejunal autograft combined with extensive esophagogastrectomy for unshuntable extrahepatic portal hypertension
Orloff et al.
J. Thorac. Cardiovasc. Surg. 1994;108:346-353.
ABSTRACT | FULL TEXT  

Surgical Management of Portal Hypertension in Childhood: Long-term Results
Fonkalsrud
Arch Surg 1980;115:1042-1045.
ABSTRACT