“…Endo-toxins from gram-negative bacteria probably exert a similar action. This is supported by the observation that portal-caval anastomosis (Eck fistula) greatly modifies the immediate hypotensive reaction that follows injection of endotoxin, parasitic extracts, or anaphylaxis (9,31,32). However, the hepatovascular phenomena which occur in various types of shock are as yet poorly understood.…”