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- W2029310282 abstract "RECURRENT HEMORRHAGE from esophageal and gastric varices can be prevented by a portacaval shunt which remains patent and reduces the portal pressure to a normal or near normal level. 1 Such an operation should improve the prognosis for a patient with cirrhosis of the liver and varices which have bled. 2 There are skeptics, 3-5 however, who feel that the natural course of cirrhosis of the liver, in such cases, is so grave that portal-systemic venous shunts are unlikely to alter the longtime survival rate. It is difficult to find reports of comparable cases treated by shunts or by medical therapy and followed for a significant period of time. It is for this reason that we report our experience with 42 patients who have been followed five or more years. Twenty-one patients were not operated on, and 21 were treated by portacaval ( 19) or splenorenal (2) shunt. Two- and three-year" @default.
- W2029310282 created "2016-06-24" @default.
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- W2029310282 date "1964-09-14" @default.
- W2029310282 modified "2023-10-14" @default.
- W2029310282 title "Treatment of Bleeding Esophageal Varices" @default.
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- W2029310282 doi "https://doi.org/10.1001/jama.1964.03070110056019" @default.
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