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Further Analysis

EDWARD J. BERMAN, MD; PAUL WAITE, MD; ELDON L. GERIG, MD; R. E. BAKEMIER, MD

AMA Arch Surg. 1963;86(6):1008-1014.

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

Historical Review

In 1877 Nicholai von Eck opened the era of portacaval anastomosis with a report of experiments involving eight dogs.¹ He anastomosed the side of the portal vein to the side of the inferior vena cava, then tied off the portal vein at the porta hepatis. He concluded that such a diversion of portal flow could be safely accomplished and proposed that this fistula be used in some cases of ascites. It was not for 26 years, however, that the "Eck fistula" was to be applied to man. Vidal² in 1903 successfully performed the operation for ascites and obtained some benefit but only a four-month survival. Drummond and Morrison³ in 1896 and Talma⁴ in 1898 independently described the procedure of omentopexy in which abrasive trauma was applied to omentum, peritoneum, liver, and diaphragm to promote vascular adhesions. Villard and Tavenier⁵ in 1910 and Gunn . . . [Full Text PDF of this Article]

Author Affiliations
INDIANAPOLIS

Animal research conducted at Marion County General Hospital, Indianapolis.

Footnotes
Presented at the 70th Annual Session of the Western Surgical Association, St. Louis, Nov 29-Dec 1, 1962.

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