Radiology of liver circulation
著者
書誌事項
Radiology of liver circulation
(Series in radiology, 11)
Nijhoff , Distributors for the U.S. and Canada, Kluwer Academic Publishers, 1985
大学図書館所蔵 全6件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
  ベルギー
  オランダ
  スウェーデン
  ノルウェー
  アメリカ
注記
Bibliography: p. [169]-174
内容説明・目次
内容説明
The liver blood flow disorders are usually described under the term 'portal hypertension', which is a well known syndrome since it has been widely studied for years from a clinical, radiological and therapeutic point of view. In fact, portal hypertension is only the result of an obstacle to the portal flow, the clinical manifestations of which often occur at a late stage of the disease: bleeding esophageal varices, splenomegaly, ascites. In addition, it is well known that there is not always a precise relationship between the degree of the obstruction, i.e. the decrease of the portal inflow and the level of the portal hypertension. A severe obstruction to the portal flow may therefore sometimes remain clinically inconspicuous for a long time. For this reason improvement of our knowledge of portal hypertension mainly relies on angiographic investigations. Thus, splenoportography permits the discovery of prehepatic obstructions whereas hepa tic venography permitted the recognition of two different types of intrahepatic obstruction according to the pre-sinusoidal or post -sinusoidal site of the obstacle. More recently, arterial hepatic changes could be evidenced through arteriography. However, these angiographic investigations have not yet allowed for all the problems about portal hypertension to be clearly identified.
目次
1. Normal Hepatic Circulation — Anatomy and Physiology.- I. The hepatic lobule and its three vascular axes.- II. Intrahepatic arterio-portal communications.- III. Normal hepatic circulation.- 2. Angiographic Methods.- I. Direct portal venous opacification.- II. Hepatic venous study.- III. Arterioportography.- IV. Computed tomography.- 3. The Main Arteriographic Signs of Portal Hypertension and their Hemodynamical Significance.- I. The mesenterico-portal axis opacification.- II. The spleen pattern.- III. Hepatic arterial changes.- 4. Presinusoidal Obstructions.- I. Proper angiographic signs.- II. The main causes of prehepatic obstructions.- III. Intrahepatic presinusoidal obstructions.- 5. Diffuse Post-Sinusoidal Obstructions.- I. Proper arteriographic signs.- II. Evaluation of the intensity of the obstruction.- III. Etiological diagnosis.- 6. Are There Portal Hypertensions Without Obstruction?.- I. Portal hypertension of splenic origin.- II. Portal hypertension and arteriovenous fistula.- 7. Contribution of Arterioportography to the Treatment of Portal Hypertension.- I. Checking of surgical porto-caval anastomosis by arterioportography.- II. Treatment of portal hypertension according to hemodynamical changes.- III. Interventional radiology and portal hypertension.- 8. Segmental Intrahepatic Obstructions without Portal Hypertension.- I. Segmental reversal of the intrahepatic portal flow: angiographic pattern.- II. Differential diagnosis of segmental reversal of intrahepatic portal flow: arterio-portal fistulae.- III. Etiological diagnosis.- IV. Conclusions.- General conclusions.- References.
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