Evaluation of Adaptive Changes by Non-Invasive Imaging in Hepatic Vein Outflow Obstruction Academic Article uri icon

Overview

MeSH Major

  • Biliary Tract Surgical Procedures
  • Hepatectomy
  • Nutritional Status
  • Postoperative Complications

abstract

  • 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.

publication date

  • January 1995

Research

keywords

  • Academic Article

Identity

Language

  • eng

PubMed Central ID

  • PMC2423793

Digital Object Identifier (DOI)

  • 10.1155/1995/79058

PubMed ID

  • 18612469

Additional Document Info

start page

  • 231

end page

  • 6

volume

  • 8

number

  • 4