“…Peptic ulcers were also present in two of the children reported by Kerr et al (1961), and peptic ulcers are known to be frequent in patients with alcoholic cirrhosis (Fainer and Halsted, 1955). Dyspepsia developed after the portal-caval anastomosis in patient 1, but although peptic ulceration after shunt procedures has been noted (Hourigan et al, 1971;Brown and Walker, 1967), there is no definite evidence that the incidence is higher than expected (Phillips et al, 1975). The importance of peptic ulcers in patients at risk from bleeding oesophageal varices is well recognized (Fainer and Halsted, 1955).…”
During 10 years four patients with congenital hepatic fibrosis were seen in a general hospital in London; three presented in adult life. It is suggested that the condition may account for a larger proportion of patients with chronic liver disease than has been thought to be the case.
“…Peptic ulcers were also present in two of the children reported by Kerr et al (1961), and peptic ulcers are known to be frequent in patients with alcoholic cirrhosis (Fainer and Halsted, 1955). Dyspepsia developed after the portal-caval anastomosis in patient 1, but although peptic ulceration after shunt procedures has been noted (Hourigan et al, 1971;Brown and Walker, 1967), there is no definite evidence that the incidence is higher than expected (Phillips et al, 1975). The importance of peptic ulcers in patients at risk from bleeding oesophageal varices is well recognized (Fainer and Halsted, 1955).…”
During 10 years four patients with congenital hepatic fibrosis were seen in a general hospital in London; three presented in adult life. It is suggested that the condition may account for a larger proportion of patients with chronic liver disease than has been thought to be the case.
“…6 Kerslake, D., and Casey, D., Obstetrics and Gynecology, 1967, 30, 35. 7Nillson, C. A., Acta Obstetricia et Gynecologica Scandinavica, 1967, 46, 501.…”
SummaryA prospective study of 1,000 cases of termination of pregnancy by vacuum aspiration is presented and the safety of the method emphasized. By setting up special clinics and an additional weekly operating session, the maximum delay from a request to appointment is 5 days, and, if operation is advised, from appointment to operation a further 7 days.
“…These cases present the mechanical problem of portal hypertension and the metabolic problems associated with the underlying liver disease. Surgery will not arrest the deterioration of a progressive pathological process within the liver, but, by preventing further haemorrhage, it can prevent such deterioration from being accelerated, and may allow long and satisfactory survival (Hunt 1965; Brown & Milnes Walker 1967). The most frequent indication for surgery in these cases is a previous haemorrhage from gastro‐oesophageal varices.…”
Section: B Definitive Surgical Proceduresmentioning
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