DOES AUXILIARY HETEROTOPIC LIVER-TRANSPLANTATION REVERSE HYPERSPLENISM AND PORTAL-HYPERTENSION

被引：25
作者：
RINKES, IHMB
VANDERHOOP, AG
HESSELINK, EJ
METSELAAR, H
DERAVE, S
ZONDERLAND, HM
SCHALM, SW
TERPSTRA, OT
机构：
[1] ERASMUS UNIV, HOSP DIJKZIGT, DEPT SURG, DR MOLEWATERPLEIN 40, 3015 GD ROTTERDAM, NETHERLANDS
[2] ERASMUS UNIV, HOSP DIJKZIGT, DEPT INTERNAL MED 2, 3015 GD ROTTERDAM, NETHERLANDS
[3] ERASMUS UNIV, HOSP DIJKZIGT, DEPT RADIOL, 3015 GD ROTTERDAM, NETHERLANDS
来源：
GASTROENTEROLOGY | 1991年 / 100卷 / 04期
关键词：
D O I：
10.1016/0016-5085(91)90293-T
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
In this study, performed to assess the effect of auxiliary heterotopic liver transplantation on portal hypertension and hypersplenism, eight patients with chronic liver disease who underwent the procedure and had functioning grafts for at least 6 months were analyzed. The transplantation resulted in (a) normalization of platelet and leukocyte counts, (b) reduction of splenomegaly by 20% ± 3% (P < 0.02), (c) disappearance of ascites, and (d) diminution of esophageal varices in all patients. Intraoperatively, the mean portacaval pressure gradient decreased with 54% ± 7% after recirculation of the graft (P < 0.05). In conclusion, a functioning auxiliary heterotopic liver graft decompresses portal hypertension and reverses hypersplenism. © 1991.
引用
收藏
页码：1126 / 1128
页数：3
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