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  • 1
    Electronic Resource
    Electronic Resource
    Liver transplantation after “successful” Kasai portoenterostomy: evidence that liver decompensation results from fibrotic encasement of central normal liver (1993)
    Springer
    Pediatric surgery international 8 (1993), S. 303-305 
    Details
    ISSN: 1437-9813
    Keywords: Biliary atresia ; Cirrhosis ; Liver transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two anicteric children were transplanted for hepatic decompensation 5 and 7 years after an initial “successful” Kasai portoenterostomy. Examination of the hepatectomy specimens showed two distinct zones: a central zone of apparently normal parenchyma with draining ductules surrounded by a peripheral zone of fibrotic tissue with no ductules. This is in contrast with the completely fibrotic explanted livers from children who are persistently jaundiced after an unsuccessful Kasai procedure. It is possible that the peripheral fibrotic tissue might have prevented the normal growth of the draining central segment, leading to hepatic decompensation at a later age. It may also contribute to the development of the portal hypertension seen so often in these patients. The earliest evidence of impending hepatic decompensation in these two cases was a steady decline in serum albumin level.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00173350
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Developmental intrahepatic shunts of childhood: radiological features and management (1997)
    Springer
    European radiology 7 (1997), S. 1377-1382 
    Details
    ISSN: 1432-1084
    Keywords: Key words: Intrahepatic shunts ; Congenital ; Arteriovenous ; Arterioportal ; Portocaval
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The purpose of this study was to evaluate the role of radiological techniques in the diagnosis and management of developmental intrahepatic shunts. Hepatic vascular fistulae are recognised sequelae of liver trauma and intrahepatic tumours. However, there are rare developmental malformations which may present in childhood or later life and which may carry life-threatening complications. Retrospective analysis of clinical and radiological data was carried out in 24 patients. Anomalies evaluated were: (a) direct communication between hepatic artery and hepatic veins; (b) congenital hepatoportal arteriovenous malformations; and (c) congenital portocaval anastomosis with persistent flow through the ductus venosus. Although rare, the prompt recognition of these vascular anomalies allows early surgical or radiological intervention and reversal of the haemodynamic complications.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050304
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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