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THOMAS C. DOUGLASS, M.D.; W. HARRISON MEHN, M.D.

AMA Arch Surg. 1950;61(4):661-666.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THERE has been an interest in venous fistulas since 1877, when Eck¹ first suggested a technic for producing a portacaval anastomosis. Since that time many studies of the physiologic changes produced in animals by an Eck fistula have been reported.

Blalock,² Blakemore³ and Whipple⁴ have reported that a side to side portacaval fistula without obstruction of the portal vein will close, but to date no specific report of experimental work has been found in the literature. A similar fistula will remain patent in the typical animal with an Eck fistula, in which the portal vein is occluded.⁵

A few clinical cases have been reported in which there were recurrent gastrointestinal hemorrhages after the establishment of a portacaval fistula. It seems possible that this may be due to closure of the fistula in some instances. Many factors contribute to the maintenance of the patency of a . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Department of Surgery, Northwestern University Medical School. Aided by the Grunow Surgical Fund.

Footnotes
Read at the Seventh Annual Meeting of the Central Surgical Association, Chicago; Feb. 17, 1950.

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