Library

feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Research in experimental medicine 188 (1988), S. 305-317 
    ISSN: 1433-8580
    Keywords: Immune tolerance ; Thymocyte subpopulations ; Monoclonal antibodies ; Differentiation ratio ; Cyclosporine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary LEW with BDE-heart graft received 0 (control), 15, or 40 mg cyclosporine (CsA)/kg b. wt. per day. On postoperative days 3, 5, 7, 10, and 14 in four animals each weight and cell count of thymus and spleen were determined, and thymus and spleen cell subpopulations were examined with monoclonal antibodies. The same tests were performed in FiS heart graft recipients without immunosuppression and ungrafted LEW which received 15 or 40 mg CsA. We expressed alterations in thymocyte subpopulations by using the differentiation ratio (DR), i.e., differentiated in % of all T-cells and by the ratio of helper to suppressor/cytotoxic T-cells (Th-Ts/c). In graft rejection the thymus showed no significant change in DR or Th-Ts/c. However, in the CsA-induced graft tolerance DR was elevated and at the same time Th-Ts/c declined, both showing maximum values on days 5 and 7 and a return to normal thereafter. FiS graft recipients exhibited similar thymus alterations as tolerant recipients, but less marked. In CsA-treated ungrafted LEW, elevation of DR was slight after 15 mg but very strong after 40 mg CsA (93% on day 7), and it did not return to normal in the latter group. Th-Ts/c was decreased in these ungrafted animals, but not as strongly as in tolerant graft recipients. Such thymus alterations were not observed in graft rejection. Spleen weights were strongly increased in graft rejection and unchanged in graft tolerance. Splenic Ts/c and Th-Ts/s were increased in CsA-treated tolerant recipients but not in graft rejection. We conclude that elevation of DR and decline of thymic Th-Ts/c in the initial postoperative phase are indicators of graft tolerance in organ recipients.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 371 (1987), S. 49-58 
    ISSN: 1435-2451
    Keywords: Liver transplantation ; Bile duct reconstruction ; Biliary complications ; Bile sludge
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Komplikationen bei der Gallenwegsrekonstruktion treten nach der Lebertransplantation häufig auf. Eine anatomisch bedingte unzureichende Blutversorgung der extrahepatischen Gallenwege führt postoperativ zur Gallengangsnekrose. Biliodigestive Anastomosen haben ein erhöhtes Risiko für ascendierende Infektionen im Transplantat. Gallensludgebildung verursacht eine intra- und extrahepatische Gallenwegsobstruktion. Heute werden hauptsächlich die Sphincterfunktion erhaltende Methoden zur Gallendrainage angewandt, entweder Choledocho-Choledochostomie oder Gallenblasen-Conduit-Methode. Falls dies anatomisch nicht möglich ist, verwendet man eine biliodigestive Anastomose mit einer ausgeschalteten Jejunumschlinge nach Roux. Wird eine Gallenwegskomplikation festgestellt, ist die sofortige operative Revision der Gallendrainage lebensrettend.
    Notes: Summary In hepatic transplantation complications of the biliary drainage were frequently observed. Ischemia of the extrahepatic bile duct which occurs for anatomical reasons can cause necrosis of the bile duct. The reconstruction of biliary drainage by biliodigestive anastomosis results in ascending infections of the graft. Biliary sludge could obstruct the intra- or extrahepatic bile duct. Recently, operation methods are mainly applied in which the function of Oddi's sphincter is preserved, i. e. choledocho-choledochostomy or gallbladder conduit method. If it is not possible to perform these methods the Roux-y jejunum loop is used. Finally, an immediate operative revision of the biliary drainage is indicated if its complication is diagnosed.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...