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81.
RAMÓN BATALLER VICENTE ARROYO PERE GINÈS 《Journal of gastroenterology and hepatology》1997,12(11):723-733
Ascites is one of the earliest and most common complications of patients with cirrhosis. A typical circulatory dysfunction characterized by arterial vasodilation, high cardiac output and stimulation of vasoactive systems is commonly present in these patients and is associated with a poor prognosis. The treatment of ascites has been based on the combination of a low-sodium diet and the administration of diuretics. The reintroduction of paracentesis and the recent introduction of the transjugular intrahepatic portosystemic shunt (TIPS) are the most relevant innovations in the treatment of ascites during the past two decades, although controlled trials in large series of patients are needed to delineate whether TIPS is a safe and useful treatment for these patients. 相似文献
82.
J. B. DILAWARI N. NAGPAL Y. K. CHAWLA U. KAUR J. VERMA H. BALI K. M. DAS S. SURI 《Journal of gastroenterology and hepatology》1993,8(2):202-205
Hepatic venous outflow tract obstruction, Budd-Chiari syndrome (BCS), leads to portal hypertension and to the development of collaterals that bypass the obstruction. Described here is a BCS patient with an unusually large transdiaphragmatic collateral between the left hepatic and left innominate veins, which decompressed the oesophageal varices. This has not been reported earlier in the literature. 相似文献
83.
Bruce F. Waller Charles M. Orr James Van Tassel Thomas Peters Edward Fry James Hermiller Larry D. Grider 《Clinical cardiology》1997,20(1):67-74
Catheter balloon angioplasty is a well accepted form of nonsurgical treatment of acutely and chronically obstructed coronary artery vessels. It is also the centerpiece for various new intervention techniques. Their morphologic effect on the site of obstruction has been termed “remodeling.” Part V of this six-part series focuses on remodeling effects of balloon angioplasty on obstructed young (≤ 1 year) and old (> 1 year) saphenous vein bypass grafts. 相似文献
84.
Kentaro Yamashita Hiroyuki Tsukuda Yasuyo Mizukami Jun Ito Shigeo Ikuta Yoshihiro Kondo Hiroshi Kinoshita Yasunori Fujisawa Kohzoh Imai 《Journal of gastroenterology》1997,32(5):684-688
A case of hepatic infarction with portal thrombosis is reported. A 63-year-old woman with liver cirrhosis and esophageal varices
was admitted for treatment of the esophagel varices. Endoscopic variceal ligation (EVL) and endoscopic injection sclerotherapy
(EIS) were performed. Two months later, she experienced right hypochondralgia and right flank pain. Serum transaminase levels
were suddenly elevated, and computed tomography scans of the liver showed multiple small nodular lesions. Her condition worsened,
and she died of hepatic failure. Autopsy revealed splenic and portal vein thrombosis, multiple hepatic infarction, and evidence
of chronic pancreatitis. We believe that liver cirrhosis and chronic pancreatitis were the main risk factors for the portal
thrombosis, and the treatment for esophageal varices appeared to have triggered the thrombosis. The hepatic infarction was
caused by the portal thrombosis. 相似文献
85.
分析104例60岁以上的老年人上消化道出血的病因,依次为急性胃粘膜病变,上消化道肿瘤,消化性溃疡及门脉高压。手术治疗效果优于内科保守治疗,而保守治疗又以甲氰咪胍效果较好。 相似文献
86.
HepatocelularCarcinomawithTumorThrombusinPortalVein:FindinginUltrasonography,ComputedTomography,AngiographyandChemoembolizati... 相似文献
87.
José I. Bilbao Manuel Ruza Jesús M. Longo Francisco Mansilla Antonio Picardi Vanessa de Villa Fernando Pardo Jesús Sola Jorge Quiroga 《Cardiovascular and interventional radiology》1994,17(4):210-213
Posttransplant lymphoproliferative disorders are infrequent tumors related to chronic immunosuppressive therapy. We present a liver transplant recipient who developed such a tumor in the porta hepatis that provoked obstruction of the entire portal triad. Treatment consisted of systemic chemotherapy, percutaneous dilatation, and placement of Wallstent endoprostheses across both biliary and portal vein stenoses. The patient died 3 weeks later of pneumonia and sepsis. At necropsy, the tumor was completely necrosed and the prostheses in both the common bile duct and the portal vein were patent. 相似文献
88.
Shoji Kubo Hiroaki Kinoshita Kazuhiro Hirohashi Hiromu Tanaka Tadashi Tsukamoto Taichi Shuto Yoshihiko Morimoto Akishige Kanazawa Shinichi Mikami Chikaharu Sakata 《Journal of Hepato-Biliary-Pancreatic Surgery》1997,4(4):359-364
Hepatocellular carcinoma (HCC) is often associated with chronic liver disease, such as hepatitis or cirrhosis, and this association
may limit the use of surgery as a therapy, and if surgery is pursued, may give rise to postoperative hepatic failure. We evaluated
the outcome in patients with HCC given preoperative portal vein embolization (PVE) before they underwent major hepatectomy.
After PVE, portal pressure increased significantly. Two weeks after PVE, both the volume of the non-embolized lobe and the
15-min indocyamine green retention rate (ICG R15) were significantly increased. The prognostic score, calculated on the basis
of age, ICG R15, and the resection rate, was significantly decreased. The operative mortality rate was significantly lower
in patients who underwent PVE before surgery than in patients who did not receive PVE. The cumulative survival rate of the
PVE patients, even those with cirrhosis of the liver, was significantly higher. Prior PVE appears to allow more extensive
major hepatectomy and to lessen the risk of this invasive surgery. However, patients in whom the portal pressure immediately
after PVE was more than 30cm H2O and/or whose prognostic score exceeded 50 points developed postoperative hepatic failure. These features should be kept
in mind when it is decided whether surgery is indicated. Nevertheless, preoperative PVE appears to be a beneficial procedure
for patients undergoing major hepatectomy, particularly those with chronic liver disease. 相似文献
89.
正常人及胃癌患者胃蛋白酶原C基因多态性研究 总被引:2,自引:0,他引:2
以PGC301为探讨,对10例胃癌组织及11例正常人体组织基因组DNA中胃蛋白酶原C基因的EcoR I限制性片段长度多态性作了观察分析。发现在正常人体有三种常见等位片段,分别为20kb、5.7kb及3.6kb;一种稀有片段,3.5kb。在胃癌患者,未发现与正常人体不同的等位片段。但是,稀有片段及稀有杂交带型的出现频率高于正常组。这一结果对深入探讨胃蛋白酶原C基因稀有片段及稀有杂交带型对胃癌的诊断价 相似文献
90.
目的 探讨门脉高压症出血病人肝功能变化情况 ,同时评价应用乌司他丁 (Ulinastatin ,UTI)治疗的效果。方法 将 4 6例肝硬化门脉高压症出血病人分为两组 :Ⅰ组 (n =2 2 )为一般治疗组 ,Ⅱ组 (n =2 4 )为UTI治疗组 ,分别检测Ⅰ、Ⅱ组出血后 1,2 ,4 ,7,10 ,14d血ET变化情况 ,并检测1,7,14d的肝功能。另选肝硬化门脉高压症未出血病人 (n =2 0 ) ,检测血浆ET ,作为对照组。结果 出血后 7,14d ,Ⅰ、Ⅱ组总胆红素 (TBIL)均呈先升高后下降 ,但Ⅱ组较Ⅰ组下降快 (分别P <0 0 5 ,P <0 0 1)。ALT、AST亦呈先升高后下降 ,但于出血后 14日Ⅱ组较Ⅰ组下降快 (P <0 0 5 )。Ⅰ、Ⅱ组出血后 1d血ET浓度较对照组显著升高 (P <0 0 1) ,随后逐步下降。Ⅱ组ET下降较Ⅰ组快 ,于出血后 2d(P <0 0 5 )、4d (P <0 0 1)、7d(P <0 0 5 )有显著差异。出血后 1dⅠ、Ⅱ组ET浓度与TBIL呈正相关 (r=0 734,P <0 0 1) ;Ⅰ、Ⅱ组血ET下降指数与TBIL增高指数呈负相关 (r =- 0 4 86 ,P <0 0 5 )。结论 肝硬化门脉高压症大出血后应用UTI治疗可抑制TBIL、ALT、AST、ET等的升高 ,起到保护肝脏功能的作用。 相似文献