0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The Diagnosis of Operable Portal Obstruction in Children

NATALIE SCHUCKMELL, M.D.; WILLIAM J. GROVE, M.D.; ALEXANDER P. REMENCHIK, M.D.
AMA Am J Dis Child. 1955;90(6):692-700. doi:10.1001/archpedi.1955.04030010694006.
Text Size: A A A
Published online

The development of surgical procedures which can modify the course of disease associated with portal hypertension has made early recognition and accurate diagnosis of this condition imperative. This applies in particular to the pediatric age group. In many cases found in infants and children such complications as hemorrhage from esophageal varices and pathological depression of erythrocyte, leucocyte, and platelet levels due to hypersplenism can be avoided by appropriate treatment. Accurate diagnosis of the cause of portal hypertension including the site of portal obstruction is necessary not only to define clearly the indications for surgery, but also to plan the most appropriate procedure.

Several extensive anatomical investigations of the portal venous system have been made recently because of the renewed interest in portal decompression in the treatment of portal hypertension.1 A compilation of the most frequently encountered patterns in the disssections of 92 specimens by Douglass, Baggenstoss, and Hollinshead2

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();