[Early measurement of portal pressure as a deciding factor in the treatment of ruptured oesophageal varices (author's transl)].
A retrospective study of 51 patients with ruptured oesophageal varices showed a clear-cut difference in mean portal pressure between those who underwent elective surgery (33.7 cm/H2O) and those who were operated upon while still bleeding after failure of medical treatment (41.3 cm/H2O). It would appear that medical treatment is likely to be unsuccessful in 75% of the cases when portal pressure exceeds 35 cm/H2O. These findings tend to indicate that a rapid therapeutic decision would improve the results of emergency treatment. Early measurement of portal pressure by jugular vein catheterization seems to be essential, but other diagnostic procedures, such as laboratory tests and liver biopsy, are also important. A prospective study of 11 recent cases where these procedures were carried out appears to confirm their value as deciding factors in the treatment of ruptured oesophageal varices.
D001794:Blood Pressure; D004932:Esophageal and Gastric Varices / Q000601:surgery / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000601:surgery / Q000628:therapy; D006801:Humans; D011168:Portal System / Q000503:physiopathology*; D011379:Prognosis; D012189:Retrospective Studies; D013997:Time Factors
Mesure précoce de la pression portale pour le traitement des ruptures de varices oesophagiennes.