Effect of propranolol on portosystemic collateral circulation in patients with cirrhosis
Stefano Gaiani, Luigi Bolondi, Daphna Fenyves, Gianni Zironi, Alessandra Rigamonti, Luigi Barbara – 1 November 1991 – Propranolol has been demonstrated to be effective in lowering portal pressure in cirrhotic patients. This effect is mediated by a reduction of splanchnic arterial inflow and a consequent decrease of portal vein and portocollateral blood flow. Although experimental studies suggest a direct effect of the drug on portocollateral circulation, little information exists about relative flow changes occurring in the portal vein and in collateral veins feeding esophageal varices.