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Original communication| Volume 69, ISSUE 2, P294-299, February 1971

Portal hypertension complicating hepatic sarcoidosis

DOI:https://doi.org/10.5555/uri:pii:0039606071901656
Portal hypertension complicating hepatic sarcoidosis
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      Abstract

      Reports of 17 patients with portal hypertension complicating hepatic sarcoidosis were collected from a review of the world literature. An additional experience with this syndrome is reported. None of these 18 patients had hepatic involvement as the sole expression of sarcoidosis. Severe Ever dysfunction was uncommon; only one patient died of liver failure. Ascites was present in 22 percent of the patients. Hepatomegaly was uniformly present; 94 percent had splenomegaly, and 50 percent had hypersplenism. The mean portal pressure was 352 cm. of water. Esophageal varices were present in 78 percent of the patients, 57 percent of whom bled. Four patients with bleeding esophageal varices had portasystemic shunts, survived, and did well; the other with bleeding esophageal varices died.
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      35. Zollinger, R. W.: Personal communication.

      Article info

      Publication history

      Received in revised form: March 12, 1970
      Received: February 13, 1970

      Footnotes

      ☆This study was supported in part by the Detroit Receiving Hospital Research Corporation.

      Identification

      DOI: https://doi.org/10.5555/uri:pii:0039606071901656

      Copyright

      © 1971 Published by Elsevier Inc.

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