We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
INVESTIGATION OF THE PORTAL CIRCULATION VIA THE UMBILICAL VEIN.
- Authors
Man, Boris; Kraus, Ludwik; Pikielny, Sergius
- Abstract
The reopened umbilical vein presents a convenient route of access to the portal circulation. Beside the various diagnostic and therapeutic procedures performed through the umbilical vein it presents also an unique direct approach for anatomical study and investigation of the portal vein system. By reopening of the ductus venosus Arantii attempt was made to reconstruct the embryonic portocaval shunt. Portal pressure measurements demonstrated its increase in 30 per cent of the patients with metastatic livers. Pharmacodynamic study showed that pitressin used conventionally for arrest of the bleeding from esophageal varices is an ineffective and dangerous drug. If used at all it should be infused continuously and in smaller doses. Vasopressors cause hypoxia and acidosis of the portal blood and their use in surgical patients is questionable. Transumbilical vein cholangiography is a new method and can substitute for the percutaneous transhepatic cholangiography which has a danger of hemoperitoneum and bile peritonitis.
- Subjects
PORTAL vein surgery; PHARMACODYNAMICS; HEMODYNAMICS; SURGERY; VEINS
- Publication
Vascular Surgery, 1974, Vol 8, Issue 3, p193
- ISSN
0042-2835
- Publication type
Article
- DOI
10.1177/153857447400800309