Portal Hypertension

Clinical and Physiological Aspects

  • Kunio Okuda
  • Jean-Pierre Benhamou

Table of contents

  1. Front Matter
    Pages I-XIX
  2. Pathophysiology

    1. Front Matter
      Pages 1-1
    2. P. Bioulac-Sage, J. Saric, C. Balabaud
      Pages 13-26
    3. Thomas C. Mahl, Roberto J. Groszmann
      Pages 27-33
    4. Miquel Navasa, Jaime Bosch, Joan Rodés
      Pages 35-49
    5. Kunio Okuda, Shoichi Matsutani
      Pages 51-62
    6. Soichiro Miura, Masaharu Tsuchiya
      Pages 63-84
    7. Gilles A. Morali, Laurence M. Blendis
      Pages 85-99
    8. Didier Lebrec
      Pages 101-113
  3. Hemodynamic Investigations

    1. Front Matter
      Pages 115-115
    2. Didier Lebrec
      Pages 117-125
    3. Jaime Bosch, Faust Feu, Joan-Carles García-Pagán
      Pages 139-150
    4. Fuminori Moriyasu
      Pages 151-159
    5. Luigi Bolondi, Stefano Gaiani, Luigi Barbara
      Pages 161-182
    6. Kunio Okuda, Susumu Shiomi
      Pages 183-194
  4. Imaging Investigations

    1. Front Matter
      Pages 195-195
    2. Shoichi Matsutani, Kunio Kimura, Masao Ohto, Kunio Okuda
      Pages 197-206

About this book


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.


Portal hemodynamics Portal hypertension Portal-systemic collateral Sclerotherapy Varices Banti's syndrome cirrhosis endoscopy hemodynamics hypertension imaging liver physiology portal hypertension shunt surgery

Editors and affiliations

  • Kunio Okuda
    • 1
  • Jean-Pierre Benhamou
    • 2
  1. 1.Department of MedicineChiba University HospitalChiba, 280Japan
  2. 2.Department of HepatologyHopital BeaujonClichyFrance

Bibliographic information

  • DOI https://doi.org/10.1007/978-4-431-68361-2
  • Copyright Information Springer-Verlag Tokyo 1991
  • Publisher Name Springer, Tokyo
  • eBook Packages Springer Book Archive
  • Print ISBN 978-4-431-68363-6
  • Online ISBN 978-4-431-68361-2
  • About this book