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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Research in experimental medicine 187 (1987), S. 379-384 
    ISSN: 1433-8580
    Keywords: Hepatic regeneration ; Thymus alteration ; Monoclonal antibodies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We performed 70% hepatectomy in LEW rats and examined immunologic alterations during hepatic regeneration; especially, thymus weight and cell count, T-cell subpopulations, differentiation ratio of thymocytes (DR) and ratio of T-helper to T-suppressor/cytotoxic cells (Th-Tsc). Strongest liver regeneration was observed on postoperative days 2–5 and it was completed on day 7. During hepatic regeneration a significant thymus atrophy in weight and cell count was found on day 3 and 5, it normalized from the 7th day on. T-cells were highly differentiated during liver regeneration with a DR of 35.7 ± 2.5%, 64.0 ± 4.4% and 38.8 ± 3.0% on postoperative days 3, 5, and 7, respectively, and at the same time Th-Tsc ratio was reduced to 0.57 ± 0.11, 0.38 ± 0.04 and 0.57 ± 0.05, respectively. DR and Th-Tsc ratio showed a trend to normalization from the 7th day on. No changes of thymus and T-cell subpopulations occurred in a sham-operated control group. Since we found such thymus alterations also in spontaneous or drug induced tolerant graft recipients, we conclude that the hepatic regenerative potential possesses a suppressive effect on immune responses.
    Type of Medium: Electronic Resource
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  • 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
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