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Assessment by Spleen Pressure and Percutaneous Splenoportography

FRANCIS C. JACKSON, MD

AMA Arch Surg. 1963;87(2):307-319.

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

If a portacaval shunt is to be considered satisfactory treatment in the prevention of hemorrhage from gastroesophageal varices, it should be offered a cirrhotic patient with intrahepatic obstruction of portal blood flow and a functioning coronary vein visualized by splenoportography. The value of the prophylactic shunt would depend upon the significance of the coronary vein to bleeding varices.

The importance of such a consideration was suggested early in our experience. Studies on three cirrhotic patients indicated that a clinical significance may be attached to the first collateral channels, or branches of the splenic vein, filling with dye during these venographic studies, particularly, the prompt opacification of the coronary vein.

In one patient (Fig 1A) with frequent hemorrhages from varices, a large coronary vein represented the only venous channel providing a route for portosomatic blood flow. In a second instance (Fig 1B), the only vein so functioning was a . . . [Full Text PDF of this Article]

Author Affiliations
PITTSBURGH

From the Veterans Administration Hospital, Pittsburgh, and the Department of Surgery of the University of Pittsburgh School of Medicine.

Footnotes
Presented at the 20th Annual Meeting of the Central Surgical Association, Chicago, Feb 21-23, 1963.

A portion of this investigation was supported by a Cooperative Study of Gastroesophageal Varices being conducted by the Veterans Administration, departments of medicine and surgery.

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