Changes of duplex parameters and splenic size in liver transplant recipients during a long period of observation.
OBJECTIVE
To assess the changes of portal and arterial velocities, resistance index, spleen and liver size during a long observation period (13.7 years) after orthotopic liver transplantation (OLT).


METHODS
Two hundred and sixty patients were recruited retrospectively for this study and divided into groups with defined time intervals after OLT. The cross-sectional changes of portal and arterial velocities, resistance index, spleen and liver size between the defined time intervals were studied. The complications detected by ultrasound were compared to gold standard methods.


RESULTS
The mean values for liver size were all within the normal range. The splenic size decreased between the time intervals 100 and 1,000 d after OLT (t; P<0.01). While portal and arterial flow velocities decreased up to 5.5 years (t; portal velocity P<0.01, maximal systolic velocity P=0.05, maximal end diastolic velocity P<0.01), RI increased during this interval (t: P<0.01). Higher RI values were found in older patients (r=0.24, P<0.001).


CONCLUSIONS
The arterial and portal velocities show adaptation processes continuing over the course of many years after OLT and are reported for the first time. The vascular complications detected by ultrasound occur mostly up to 100 d after OLT.
Boozari
Bita
B
Department of Gastroenterology, Hepatology and Endocrinology, Medical School of Hannover, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. bita.boozari@t-online.de
Gebel
Michael
M
Bahr
Mathias-J
MJ
Manns
Michael-P
MP
Strassburg
Christian-P
CP
Bleck
Joerg-S
JS
Klempnauer
J
J
Nashan
Bjoern
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008099:Liver / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000473:pathology; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D013154:Spleen / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000502:physiology; D018615:Ultrasonography, Doppler, Color