Postoperative Assessment by Duplex Ultrasound for Orthotopic Hepatic Transplantation
Ahmed Hassan Ibrahem;
Abstract
iver transplantation is performed for a variety of irreversible acute and chronic liver diseases for which no other satisfactory therapy is available.
With considerable improvement in the surgical technique in the last years and new immunosuppressive therapy, overall patients' survival rates at 1 and 3 years are 85.6% and 75.9%, respectively with corresponding graft survival rates 79.8% and 68.8% respectively.
Cirrhosis and chronic liver failure are leading causes of morbidity and mortality. The most common causes of cirrhosis are viral hepatitis, excessive alcohol consumption, or nonalcoholic fatty liver disease. Most patients remain asymptomatic until the occurrence of decompensation, characterized by ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, or variceal bleeding from portal hypertension.
Understanding the anatomy of the liver and biliary system and the pathology of their diseases which require liver transplantation is very valuable for their post operative assessment with US and Doppler.
Knowledge of surgical technique of liver transplantation and awareness of normal radiological appearance of the transplanted liver permit early detection of complications.
With considerable improvement in the surgical technique in the last years and new immunosuppressive therapy, overall patients' survival rates at 1 and 3 years are 85.6% and 75.9%, respectively with corresponding graft survival rates 79.8% and 68.8% respectively.
Cirrhosis and chronic liver failure are leading causes of morbidity and mortality. The most common causes of cirrhosis are viral hepatitis, excessive alcohol consumption, or nonalcoholic fatty liver disease. Most patients remain asymptomatic until the occurrence of decompensation, characterized by ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, or variceal bleeding from portal hypertension.
Understanding the anatomy of the liver and biliary system and the pathology of their diseases which require liver transplantation is very valuable for their post operative assessment with US and Doppler.
Knowledge of surgical technique of liver transplantation and awareness of normal radiological appearance of the transplanted liver permit early detection of complications.
Other data
| Title | Postoperative Assessment by Duplex Ultrasound for Orthotopic Hepatic Transplantation | Other Titles | دور الموجات الصوتية الملونة في تقييم مضاعفات ما بعد جراحة نقل الكبد | Authors | Ahmed Hassan Ibrahem | Issue Date | 2018 |
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