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Lymph Circulation in Hepatic Cirrhosis: Effect of Portacaval Shunt.

M. H. Witte, M.D.; A. E. Dumont, M.D.; W. R. Cole, M.D.; and C. L. Witte, M.D.
Ann Intern Med. 1968;68(5):1150-1151. doi:10.7326/0003-4819-68-5-1150_3
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The ability of the lymphatic system to expand its capacity as an outflow tract for the liver and intestine in hepatic cirrhosis bears directly on the

development of ascites and esophageal varices. To determine the relative contribution of the liver and intestine to increased thoracic duct lymph (TDL) formation in this disease, TDL was examined in 61 patients with cirrhosis (nutritional and postnecrotic) including 9 after portacaval shunt. TDL flow, pressure, protein content, and sulfobromophthalein (BSP) retention 45 min after intravenous injection (5 mg/kg body weight) were measured. Protein in regional lymph from the liver (LL) and small intestine (IL)


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