检索结果-南通市图书馆

Post-hepatoportoenterostomy Acoustic Radiation Force Impulse Elastography to Predict Two-year Outcome of Biliary Atresia

引用

Journal of Clinical and Translational Hepatology 2023年第3期11卷 595-604页

作者： Dongying Zhao Yahui Li Wei Xie Wenjie Wu Yan Chen Yongjun Zhang Department of Neonatology Xinhua HospitalShanghai Jiao Tong University School of MedicineShanghaiChina Department of Pediatric Surgery Intensive Care Unit Xinhua HospitalShanghai Jiao Tong University School of MedicineShanghaiChina Department of Pediatric Surgery Xinhua HospitalShanghai Jiao Tong University School of MedicineShanghaiChina

Background and Aims: Early identification of prognostic factors to predict transplant/death outcome of biliary atresia (BA) is challenging. We aimed to investigate the longitudinal changes and predictive value of dynamic changes in acoustic radiation force impulse elastography with shear wave speed (SWS) quantification and other parameters within three months after hepatoportoenterostomy (HPE) for 2-year BA outcomes. Methods: Seventy-four patients who underwent HPE between July 2016 and June 2019 were prospectively enrolled. Outcomes were classified into native liver survival and transplant/death groups. Acoustic radiation force im-pulse elastography was performed sequentially at 3 months intervals post-HPE. Cox regression analysis was used to de-termine the superior SWS values and other predictors of liver transplantation.or death. Results: Among patients 2 years of age, 36 survived with a native liver, nine died, and 29 underwent liver transplantation. The trend in SWS levels in the transplant/death group was significantly different from that in the native liver survival group. ΔSWS at 1-3 months post-HPE and total bilirubin at 1 month post-HPE were se-lected as superior predictors of liver transplantation.or death using multivariate Cox regression models: hazard ratio (HR)=1.927;95% confidence interval (CI): 1.475-2.661;p<0.001 and HR=1.010;95% CI: 1.003-1.017;p=0.007, respectively. The combination of the selected ΔSWS and total bilirubin had good predictive power, with an area under the receiver operating characteristics curve of 0.89, specificity 94.44% and sensitivity 73.68%. Conclusions: Our results suggest that early postoperative bilirubin levels and SWS changes were reliable predictors of 2-year BA outcomes.

关键词： Biliary atresia Hepatoportoenterostomy Acoustic radiation force impulse elastography Native liver survival liver transplantation.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Epithelioid Hemangioendothelioma of the liver -Case Report

引用

Journal of Pharmacy and Pharmacology 2018年第2期6卷 153-156页

作者： Julio Cesar Razera Carla Alessandra Smiderle Felipe Luzzatto Rui Luzzatto Julio Carlos Pereira Lima Gabriela Perdomo Coral Claudio Augusto Marroni Resident of Gastroenterology at Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA) Porto Alegre RS 90050-170 Brazil Pathology Department Santa Casa de Miseric6rdia de Porto Alegre Porto Alegre RS 90020-090 Brazil Gastroenterology and Hepatology Department Santa Casa de Misericordia de Porto Alegre Porto Alegre RS 90020-090 Brazil

EH （Epithelioid hemangioendothelioma） is a rare vascular malignant neoplasm. Only 434 cases had been reported until 2006. Symptoms may be nonspecific, but it atso can involve hepatic veins resulting in Budd-Chiari syndrome. The main differential diagnosis is cholangiocarcinoma, sometimes only distinguishable through immunohistochemistry study. We report a case of a young woman diagnosed with hepatic EH and listed for liver transplantation.

关键词： EH liver malignancy liver transplantation.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effects of Low Central Venous Pressure during Preanhepatic Phase on Blood Loss,liver and Renal Function in liver Tansplantation

Effects of Low Central Venous Pressure during Preanhepatic P...

引用

第十五次长江流域麻醉学学术年会暨2010年中南六省麻醉学学术年会暨2010年湖北省麻醉学学术年会

作者：冯智英徐晓祝胜美郑树森浙江大学医学院附属第一医院

Background Although low central venous pressure (LCVP) technique is used to decrease blood loss during liver resection,its efficacy and safety during transplant procedures are still debatable. Our study aimed at assessing the effects of this technique and its clinical safety for recipients undergoing liver transplantation.. Methods Eighty-six adult patients were randomly divided into a LCVP and a control group respectively. In the LCVP group,CVP was maintained below 5 mmHg or 40 % lower than baseline during the preanhepatic phase by limiting infusion volume,manipulating the patient’s posture as well as administration of somatostatin and nitroglycerine. Recipients in the control group received standard care. Hemodynamics,blood loss,liver function and renal function were compared perioperatively between the two groups. Results A lower CVP was maintained in the LCVP group during the preanhepatic phase,resulting in a significant decrease in blood loss (1922±1429 mL vs. 3111±1833v mL,Pliver function after the declamping of the portal vein. There were no significant differences in perioperative renal function and postoperative complications. Conclusions The LCVP technique during the preanhepatic phase reduced intraoperative blood loss,protected liver function,and had no detrimental effects on renal function in LT.

关键词： Central venous pressure Surgical blood loss Kidney function test Function test,liver liver transplantation.

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：