
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Portal vein thrombosis historical perspective
Introduction
Overview
Overview
Portal vein thrombosis was first discovered by Balfour and Stewart in 1868. In 1868, G201210A mutations were first implicated in the pathogenesis of portal vein thrombosis. In 1945, Allan Whipple, an american surgeon, first described the treatment of the portal hypertension with shunts. He eventually tried shunts between different mesenteric veins. Finally, he found portocaval shunt as the best choice. In 1980’s, researchers have observed that endoscopic sclerotherapy is more efficient than surgical shunting in preventing recurrent variceal bleeding.
Historical Perspective
Historical Perspective
Discovery
- In 1868, Balfour and Stewart described portal vein thrombosis for the first time.[1]
- In 1868, G201210A mutations were first implicated in the pathogenesis of portal vein thrombosis.[1]
- In 1319, Mondino de Liuzzi (Mundinus), an Italian surgeon, published the textbook named “Anhotomia” and described the anatomy of liver vascular system for the first time. The book was the most reliable textbook of anatomy for about 200 years and been partially modified by Avicenna (1000 years ago).
- In 1543, Andreas van Wesel (Andrea Vesalio in Latin), Flemish anatomist, described portal system accurately for the first time in his textbook called βDe humani corporis fabricaβ.[2]
- In 1650, Francis Glisson, a British physician, demonstrated the portal circulation for the first time, using goat as a study model.[3]
- In 1761, Giovani Battista Morgagni, an Italian anatomist, described the characteristics of cirrhotic liver in his precious textbook named “De sedibus and causis morborum per anatomen indagatis“.[4]
- In 1819, RenΓ¨ Laennec, a French physician, coined the term cirrhosis in his textbook, from antique Greek words of “Skirros” (hard, fibrotic) and “Kirrhos” (yellowish). He also mentioned his new invention “stethoscope” in the textbook.[2]
Landmark Events in the Development of Treatment Strategies
Landmark Events in the Development of Treatment Strategies
Shunts therapy
- In 1877, Nicholas Eck, a German physician, did the first portocaval shunt to treat the liver congestion in dogs.[5]
- In 1945, Allan Whipple, an american surgeon,first described the treatment of the portal hypertension with shunts. He eventually tried shunts between different mesenteric veins. Finally, he found portocaval shunt as the best choice.
Variceal bleeding treatment
- In 1985, David Westaby, a British gastroenterologist, postulated that variceal sclerosing therapy is an better option than pharmacotherapy in the treatment of portal hypertension.[6]
- In 1980s, researchers have observed that endoscopic sclerotherapy is more efficient than surgical shunting in preventing recurrent variceal bleeding.[7]
Liver transplantation
- In 1967, Thomas Earl Starzl, an american physician, mentioned that liver transplantation is an effective way to treat both portal vein thrombosis and the underlying hepatic disease.[8]
References
References
- β 1.0 1.1 Shaaban H, Shah N, Sidhom I (2014). “Chronic idiopathic non-cirrhotic portal vein thrombosis treated with a mesocaval shunt procedure and anticoagulation”. Indian J Hematol Blood Transfus. 30 (3): 211β2. doi:10.1007/s12288-013-0237-4. PMCΒ 4115084. PMIDΒ 25114412.
- β 2.0 2.1 Balducci, Genoveffa; Sterpetti, Antonio V; Ventura, Marco (2016). “A short history of portal hypertension and of its management”. Journal of Gastroenterology and Hepatology. 31 (3): 541β545. doi:10.1111/jgh.13200. ISSNΒ 0815-9319.
- β Magner, Lois (2005). A history of medicine. Boca Raton: Taylor & Francis. ISBNΒ 9780824740740.
- β Nutton, Vivian (2004). Ancient medicine. London New York: Routledge. ISBNΒ 978-0415086110.
- β Eck, N V (1877). “On the question of ligature of the portal vein”. Voen Med Zh. 130: 1β22.
- β Westaby D, Macdougall BR, Williams R (1985). “Improved survival following injection sclerotherapy for esophageal varices: final analysis of a controlled trial”. Hepatology. 5 (5): 827β30. PMIDΒ 2993147.
- β Dzeletovic, Ivana; Baron, Todd H. (2012). “History of portal hypertension and endoscopic treatment of esophageal varices”. Gastrointestinal Endoscopy. 75 (6): 1244β1249. doi:10.1016/j.gie.2012.02.052. ISSNΒ 0016-5107.
- β Brettschneider L, Daloze PM, Huguet C, Groth CG, Kashiwagi N, Hutchison DE, Starzl TE (1967). “SUCCESSFUL ORTHOTOPIC TRANSPLANTATION OF LIVER HOMOGRAFTS AFTER EIGHT TO TWENTY-FIVE HOURS PRESERVATION”. Surg Forum. 18: 376β378. PMCΒ 3092670. PMIDΒ 21572893.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
