H. J. Tumen, M.D., F.A.C.P.; B. H. Sullivan Jr., M.D., F.A.C.P.
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Patients with cirrhosis may have a variety of hematologic disturbances. Some of these—anemia, neutropenia, and thrombocytopenia—are attributed to hypersplenism. This is secondary to portal hypertension, which may also lead to the formation of esophageal varices. It is important to determine whether the hematologic consequences of hypersplenism decrease following shunt procedures that lower portal pressure, and also to learn whether, when hypersplenism is marked, splenectomy is required in addition to a shunt operation.
A study was made of the effect of end-to-side portacaval shunt upon the anemia, neutropenia, and thrombocytopenia of 25 patients with cirrhosis who required portal decompression because of
Tumen HJ, Sullivan BH. Effect of Portacaval Shunt on Hypersplenism.. Ann Intern Med. ;54:1050. doi: 10.7326/0003-4819-54-5-1050_1
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Published: Ann Intern Med. 1961;54(5):1050.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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