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May 18, 1912, Vol LVIII, No. 20 >
ARTICLE | May 18, 1912

THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION

JAMA. 1912;LVIII(20):1512-1517. doi:10.1001/jama.1912.04260050188013.
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SATURDAY, MAY 18, 1912

THE ANASTOMOSIS OF THE PORTAL VEIN AND THE VENA CAVA

Eck's fistula, involving the establishment surgically of a communication between the portal vein and the vena cava, is familiar as an experimental device for diverting the portal blood from the liver and thereby altering the activities of that organ. The difficulties of technic involved in the operation and the delicate manipulations which such blood-vessel anastomosis calls for have restricted the employment of this method of partial liver exclusion to a few skilled investigators. From year to year improvements and simplifications of the technic have brought this important surgical expedient within the range of an increasingly larger number of experimenters.1

Eck's original intention was to employ the operation for the palliation

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