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Portal Hypertension - Clinical and Physiological Aspects (Paperback, Softcover reprint of the original 1st ed. 1991)
Loot Price: R2,982
Discovery Miles 29 820
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Portal Hypertension - Clinical and Physiological Aspects (Paperback, Softcover reprint of the original 1st ed. 1991)
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Portal hypertension is the abnormal pathophysiologic state that
develops in liver cirrhosis and certain other disorders with
characteristic clinical and hemodynamic features. There has been
great progress in our under standing and management of portal
hypertension, particularly in the diagnostic and therapeutic
approaches. The so-called Banti's syndrome, a disorder whose
existence had long been questioned, is now a well-defined portal
hypertensive disease. The recently introduced Doppler ftowmetry is
currently yielding new information on portal hemodynamics.
Endoscopic sclerotherapy and beta-blockers have come to be widely
used in the man agement and prevention of variceal bleeding. In
spite of all these advances, a number of unsolved questions remain,
such as whether sclerotherapy, pharmacotherapy or surgery is
warranted for prevention of bleeding, which is more effective as an
elective treatment, the surgical or endoscopic approach, and
whether surgical portacaval shunt should be totally replaced by
selective shunt operations. These new developments and problems are
clearly and comprehensively described and discussed by the foremost
authorities in 44 chapters, which are divided into five sections:
1) Patho physiology, 2) Hemodynamic Investigations, 3) Imaging
Investigations, 4) Clinical and Pathological Features, and 5)
Esophageal and Gastrointestinal Bleeding. The primary goal of this
monograph, to provide a framework of patho physiology of portal
hypertension with authoritative descriptions of the clinical and
laboratory manifestations of various portal hypertensive dis
orders, has clearly been achieved by these excellent contributions.
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