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Using the technique described by Lunderquist et al. (1977), transhepatic injection of oesophageal varices has been performed under local anaesthesia in 9 patients with portal hypertension (11 procedures). On 2 occasions it was not possible to enter the left gastric vein. Bleeding resumed within 2 days of radiologically satisfactory occlusion in 2 patients and at 1, 3, 4 and 10 months after 4 procedures in 3 patients. Other complications included portal vein thrombosis, gross ascites and right pleural effusion. There were 2 hospital deaths, both in alcoholic patients with poor hepatic function. In spite of the apparently high morbidity we consider that there is a place for this technique in tiding over patients who are bleeding from oesophageal varices and are medically unsuitable for any surgical procedure.
J M Henderson, and
T A Buist, and
A I MacPherson
December 1981,
Archives of disease in childhood,
J M Henderson, and
T A Buist, and
A I MacPherson
February 1980,
The British journal of surgery,
J M Henderson, and
T A Buist, and
A I MacPherson
July 1976,
Lancet (London, England),
J M Henderson, and
T A Buist, and
A I MacPherson
February 1978,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
J M Henderson, and
T A Buist, and
A I MacPherson
January 1995,
Cardiovascular and interventional radiology,
J M Henderson, and
T A Buist, and
A I MacPherson
January 1977,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
J M Henderson, and
T A Buist, and
A I MacPherson
February 1980,
Surgery, gynecology & obstetrics,
J M Henderson, and
T A Buist, and
A I MacPherson
May 1976,
Gut,
J M Henderson, and
T A Buist, and
A I MacPherson
January 1962,
Bulletin de la Societe internationale de chirurgie,
J M Henderson, and
T A Buist, and
A I MacPherson
January 1986,
The Medical journal of Australia,
