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Evaluation of adaptive changes by non-invasive imaging in hepatic vein outflow obstruction.
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MedLine Citation:
PMID:  18612469     Owner:  NLM     Status:  In-Data-Review    
Hepatic vein outflow obstruction induces remarkable changes of intra-hepatic blood circulation; the significance of these changes remains uncertain. Six patients with obstruction of the hepatic veins were evaluated by duplex Doppler ultrasound and computed tomography. The adaptive changes secondary to obstruction were analyzed and their significance was correlated with the clinical findings. Four patients presenting unilateral hepatic vein occlusion had unilateral reversed portal flow. Two of them, with lobar liver atrophy and contralateral compensatory hypertrophy required operation; the other two, with normal appearance of the liver, benefitted from conservative treatment. Two patients with bilateral hepatic vein occlusion, intra-hepatic bypasses, bilateral lobar atrophy and caudate lobe hypertrophy, received operations. Intrahepatic unilateral portal flow reversal compensates for unilateral hepatic outflow obstruction. The combination of complete or subtotal hepatic vein obstruction and atrophy-hypertrophy complex predicates advanced disease despite flow reversal or spontaneous shunt.
P Gertsch; J N Vauthey; C Looser; J Triller; L H Blumgart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  HPB surgery : a world journal of hepatic, pancreatic and biliary surgery     Volume:  8     ISSN:  0894-8569     ISO Abbreviation:  HPB Surg     Publication Date:  1995  
Date Detail:
Created Date:  2008-07-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002972     Medline TA:  HPB Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  231-6     Citation Subset:  -    
Clinic of Visceral and Transplantation Surgery Inselspital Bern University of Bern Bern 3010 Switzerland.
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Journal Information
Journal ID (nlm-ta): HPB Surg
ISSN: 0894-8569
ISSN: 1607-8462
Publisher: Hindawi Publishing Corporation
Article Information
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Copyright ? 1995 Hindawi Publishing Corporation.
open-access: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received Day: 1 Month: 2 Year: 1994
Print publication date: Year: 1995
Volume: 8 Issue: 4
First Page: 231 Last Page: 236
ID: 2423793
PubMed Id: 18612469
Publisher Item Identifier: S0894856995790580
DOI: 10.1155/1995/79058

Evaluation of Adaptive Changes by Non-Invasive Imaging in Hepatic Vein Outflow Obstruction
P. Gertsch13
J.-N. Vauthey1
C. Looser2
J. Triller2
L. H. Blumgart1
1Clinic of Visceral and Transplantation SurgeryInselspital BernUniversity of BernBern3010Switzerland
2Department of RadiologyInselspital BernUniversity of BernBern3010Switzerland
3Dept. of SurgeryUniversity of Hong KongQueen Mary HospitalPokfulam RoadHong Kong

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