[Long-term result in 22 cases of adrenal autotransplantation with arterio-venous anastomosis].
Since 1982 22 cases of Cushing's disease treated by bilateral adrenalectomy and left adrenal autotransplantation with A-V anastomosis have been followed up for 2-5 years. 3 cases with anastomosis of adrenal vein to the epigastric inferior artery failed completely. 19 cases with anastomosis of adrenal vein to the gastrodiploic artery stopped all steroid replacement therapy 7-40 days after operation and the short-term results within three months were good, but later 2 cases died, 5 cases developed adrenocortical hypofunction, 1 case recurred and 11 cases are satisfactory. The pathologic mechanism of occurrence of adrenocortical hypofunction and hyperfunction are discussed.
Miao
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YZ
D000293:Adolescent; D000311:Adrenal Glands / Q000098:blood supply / Q000637:transplantation*; D000315:Adrenalectomy; D000328:Adult; D001166:Arteriovenous Shunt, Surgical; D002648:Child; D003480:Cushing Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000098:blood supply; D014182:Transplantation, Autologous