Abstract
Fifty consecutive patients with cirrhosis of the liver were investigated, including 29 with gastrointestinal haemorrhage. Over two-thirds of these patients gave a history of heavy alcohol intake. The necessity for fibre-endoscopy is stressed in that barium studies alone showed oesophageal varices in only 40 percent of patients and erosive lesions were often present. Gastric varices, demonstrated by gastrophotography in 25 percent of patients with portal hypertension, were not readily detectable by standard barium meal or endoscopy. Radio-isotope scanning of the liver and spleen was invaluable in supporting not only the diagnosis of cirrhosis, but also the presence of portal hypertension, since the spleen was palpable in only 50 percent of such patients.
TY - JOUR
T1 - Hepatic cirrhosis, alcohol and haemorrhage.
A1 - Scobie,B A,
PY - 1976/10/13/pubmed
PY - 1976/10/13/medline
PY - 1976/10/13/entrez
SP - 269
EP - 70
JF - The New Zealand medical journal
JO - N Z Med J
VL - 84
IS - 573
N2 - Fifty consecutive patients with cirrhosis of the liver were investigated, including 29 with gastrointestinal haemorrhage. Over two-thirds of these patients gave a history of heavy alcohol intake. The necessity for fibre-endoscopy is stressed in that barium studies alone showed oesophageal varices in only 40 percent of patients and erosive lesions were often present. Gastric varices, demonstrated by gastrophotography in 25 percent of patients with portal hypertension, were not readily detectable by standard barium meal or endoscopy. Radio-isotope scanning of the liver and spleen was invaluable in supporting not only the diagnosis of cirrhosis, but also the presence of portal hypertension, since the spleen was palpable in only 50 percent of such patients.
SN - 0028-8446
UR - https://www.unboundmedicine.com/medline/citation/1087391/Hepatic_cirrhosis_alcohol_and_haemorrhage_
DB - PRIME
DP - Unbound Medicine
ER -
