Percutaneous Splenoportography

A comparative study of esophageal varices by endoscopy and percutaneous transhepatic esophageal phlebography

“…However, soon after the introduction of esophagoscopy as a routine method it became evident that splenoportography did not consistently demonstrate esophageal varices. Several authors [17][18][19][20][21] reported single cases of known varices in which the splenoportogram was normal. Moskowitz et al [22] demonstrated the left gastric vein and esophageal varices in 3 cases where splenoportography was performed in the prone position, whereas the examination in the supine position failed to visualize the varices.…”

Emergency and Definitive Treatment of Bleeding Esophageal Varices

“…Janeway 1 pointed this out over 40 years ago. Smithwick and Thompson and Smith¬ wick 8 have discussed this point more recently in com¬ paring results of treatment by surgical and nonsurgical methods. The surgical treatment referred to consists of a bilateral lumbodorsal spianchnicectomy 4 done in one stage and requiring two to three weeks' hospitalization.…”

Interventional radiology of the portal venous circulation

“…Techniques mainly developed and used within the cardiovascular system have been adopted and refined within other organ systems. The portal venous system, however, is protected by the liver and spleen and has therefore not been available through commonly used percutaneous techniques, even though several transsplenic and transhepatic accesses were reported back in the 1950s (3,4), mainly as diagnostic procedures.…”