[The splenic steal syndrome and the gastroduodenal steal syndrome in patients before and after liver transplantation].
The study describes new pathologic entities, the splenohepatic steal-syndrome and the gastroduodenal steal-syndrome, which could be demonstrated by angiography in 17 patients before and after liver transplantation. After the first observation of a splenohepatic steal-syndrome in a patient with unexplained elevation of hepatic enzymes after liver transplantation, a prospective angiographic study was performed, including all liver transplant recipients and patients after liver transplantation with unexplained impaired liver function tests. 9 splenohepatic steal-syndromes could be demonstrated before and 7 after hepatic transplantation, one gastroduodenal steal was seen after liver transplantation. The different therapeutic modalities are discussed.
Langer
R
R
Universitätsklinikum Rudolf Virchow, Charlottenburg Strahlenklinik und Poliklinik.
Langer
M
M
Scholz
A
A
Felix
R
R
Neuhaus
P
P
Keck
H
H
D000792:Angiography; D001158:Arteries; D001604:Berlin / Q000453:epidemiology; D004386:Duodenum / Q000098:blood supply* / Q000000981:diagnostic imaging; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D016031:Liver Transplantation / Q000000981:diagnostic imaging* / Q000502:physiology; D011446:Prospective Studies; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000503:physiopathology*; D013270:Stomach / Q000098:blood supply* / Q000000981:diagnostic imaging; D013577:Syndrome
Lienalis-Steal-Syndrom und Gastroduodenalis-Steal-Syndrom bei Patienten vor und nach Lebertransplantation.