التفاصيل البيبلوغرافية
| العنوان: |
under the Harwood Academic Publishers imprint, part of The Gordon and Breach Publishing Group. Printed in India. Extrahepatic Portal Hypertension following Liver Transplantation ' a Rare but Challenging Problem |
| المؤلفون: |
B. Malassagne, O. Soubrane, B. Dousset P. Legmann B, D. Houssin |
| المساهمون: |
The Pennsylvania State University CiteSeerX Archives |
| المصدر: |
ftp://ftp.ncbi.nlm.nih.gov/pub/pmc/b6/10/HPB_Surg_1998_10(6)_357-364.tar.gz |
| سنة النشر: |
1996 |
| المجموعة: |
CiteSeerX |
| مصطلحات موضوعية: |
Extrahepatic portal hypertension |
| الوصف: |
This study reports our experience of 8 cases of extrahepatic portal hypertension after 273 orthotopic liver transplantations in 244 adult patients over a 10year period. The main clinical feature was ascites, and the life-threatening complication was variceal bleeding. Extrahepatic portal hypertension was caused by portal vein stenosis in 6 patients, and left-sided portal hypertension in 2 patients after inadventent ligation of portal venous tributaries or portasystemic shunts. All patients with portal vein stenosis had complete relief of portal hypertension after percutaneous transhepatic venoplasty (n=4) or surgical reconstruction (n=2), after a median followup of 33 (range: 6- 62) months. Of the 2 patients with left-sided portal hypertension, one died after splenectomy and one rebled 6 months after left colectomy. This study suggests that extrahepatic portal hypertension is a series complication after liver transplantation that could be prevented by meticulous portal anastomosis and closure of portal tributaries or portasystemic shunts to improve the portal venous flow. However, any ligation has to be performed under ultrasound guidance to avoid inadventent venous ligations. |
| نوع الوثيقة: |
text |
| وصف الملف: |
application/zip |
| اللغة: |
English |
| Relation: |
http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.274.8811 |
| الاتاحة: |
http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.274.8811 |
| Rights: |
Metadata may be used without restrictions as long as the oai identifier remains attached to it. |
| رقم الانضمام: |
edsbas.16ECEB83 |
| قاعدة البيانات: |
BASE |