This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by HOOBLER, S. W. Articles by KAHN, E. A. Search for Related Content PubMed PubMed Citation Articles by HOOBLER, S. W. Articles by KAHN, E. A. Pubmed/NCBI databases Medline Plus Health Information High Blood Pressure

(Circulation. 1951;4:173.)
© 1951 American Heart Association, Inc.

---

The Effects of Splanchnicectomy on the Blood Pressure in Hypertension

A Controlled Study

S. W. HOOBLER M.D.¹; J. T. MANNING M.D.¹; W. G. PAINE M.D.¹; S. G. MCCLELLAN M.D.¹; P. O. HELCHER M.D.¹; HENRY RENFERT JR. M.D.¹; M. M. PEET M.D.¹; E. A. KAHN M.D.¹

¹ From the Department of Internal Medicine and Surgery of the University of Michigan Medical School, Ann Arbor, Mich.

The effect of supradiaphragmatic splanchnicectomy on the blood pressure of 294 hypertensive patients followed for 10 to 18 months after surgery is compared with the effects of nonspecific medical management in a control group of 79 patients similarly studied. The data are presented in simple graphic form. It is concluded that 29 per cent of the hypertensive patients had reductions in blood pressure outside the range of spontaneous variation, that the vascular complications of hypertension decreased the likelihood of a good result, and that extension of the sympathetic ganglionectomy upward appeared to increase the frequency of good results without requiring a two-stage operation or producing significant postoperative orthostatic hypotension.