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JACOB K. BERMAN, M.D.; JAMES E. HULL, M.

AMA Arch Surg. 1952;65(1):37-64.

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

IN MARCH, 1947, one of us (J. K. B.) began investigating the effects of hepatic and splenic artery ligations on portal pressures in normal and in portal hypertensive dogs. Summaries of this work have been presented,¹ and a report of our first case² has been published.

This paper is an account of our first 12 cases with advanced portal cirrhosis of the liver treated by hepatic, splenic, and left gastric arterial ligations.

INDICATIONS AND CONTRAINDICATIONS

These patients were operated upon because they were cirrhotics who did not respond to medical management, including use of cation-anion resins, and who, in addition, had symptoms and signs which are known to indicate a poor prognosis if allowed to persist or progress. The symptoms and signs in the order of their gravity were (1) rapid regression in the size of the liver; (2) bleeding varices or bleeding from the gastrointestinal tract; (3) . . . [Full Text PDF of this Article]

Author Affiliations
INDIANAPOLIS

From the Department of Surgery of the Indianapolis General Hospital and the Indiana University Medical Center.

Footnotes
This study was aided by a grant from the Charles J. Wolf Foundation for Medical Research.

Read at the Fifty-Ninth Annual Meeting of the Western Surgical Association, Colorado Springs, Colo., Nov. 30, 1951.

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