Terlipressin in bleeding esophageal varices: A placebo‐controlled, double‐blind study

Siegfried Walker M.D., Adolf Stiehl, Richard Raedsch, Burkhard Kommerell – 1 January 1986 – The effect of terlipressin (N‐α‐triglycyl‐8‐lysinevasopressin) in bleeding esophageal varices was evaluated in a prospective placebo‐controlled study. Fifty bleeding episodes from esophagealvarices in 34 patients were randomized. Standard therapy with transfusions, fluid and electrolyte correction, and lactulose was performed in both groups. Balloon tamponade was used in 20 bleeding episodes in the terlipressin group and in 19 bleeding episodes in the control group.

Periductal fibrosis and lipocytes (fat‐storing cells or ito cells) during biliary atresia in the lamprey

Kazuhide Yamamoto, Patricia A. Sargent, Murray M. Fisher, John H. Youson – 1 January 1986 – Transmission and scanning electron microscopy were utilized to follow the degeneration of bile ducts of lampreys (Petromyzon marinus L.) during metamorphosis. The convoluted bile ducts of larval lampreys are surrounded by rich sinusoids, but this intimate biliovascular relationship is lost during metamorphosis because the bile duct degeneration is accompanied by the development of thick periductal fibrosis.

Assessment of short‐term prognosis after variceal bleeding in patients with alcoholic cirrhosis by early measurement of portohepatic gradient

J. P. Vinel, J. Cassigneul, M. Levade, J. J. Voigt, J. P. Pascal – 1 January 1986 – Seventy‐two consecutively admitted patients with biopsy‐proven alcoholic cirrhosis and a bleeding episode endoscopically proven to originate from ruptured esophageal varices were studied. Hemodynamic assessment was performedwithin 48 hr of admission using the transjugular approach.

Acute fatty liver of pregnancy: A clinicopathologic study of 35 cases

Donald B. Rolfes, Kamal G. Ishak – 1 November 1985 – Acute fatty liver of pregnancy is a disease of the third trimester which is generally considered to be rare and to have a grave prognosis. This study found an optimistic outlook for patients with acute fatty liver of pregnancy due to early termination of the pregnancy as well as the recognition of milder cases. In prospectively followed women, a maternal mortality of 8% and a fetal mortality of 14% were observed.

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