Title: Value of Color Doppler Ultrasonography in the Differential Diagnosis of Postoperative Jaundice after Orthotopic Liver Transplantation
Abstract: Objective : To evaluate the value of color doppler ultrasonography in the differential diagnosis of post-operative jaundice after orthotopic liver transplantation. Methods:Eighteen jaundice patients after orthotopic liver transplantation were examined by using color doppler flow imaging to observe hepatic blood flow and the change of hepatic parenchyma and biliary tract by ultrasonography. The measured indexes included the maximum blood flow velocity (Vmax), time-average blood flow velocity (TAV),resistance index (RI) and internal dimension of biliary tract. Clinical data, pathology diagnosis of needle biopsy of liver and endoscopic retrograde cholangiopancreatography (ERCP) were compared and analyzed. Results: 13 patients suffered from biliary tract complication, including stricture of anastomose site of common biliary duct in 5 patients (5/18,27. 8%),biliary stone in 2 cases (2/18,11%) .sludge formation in left hepatic duct as well as fungus infection in one patient (1/18,6%)and slightly dilated bile duct in 3 cases (3/18,17%) , the other five patients (27. 8%) suffered from mild liver acute rejection diagnosed by needle biopsy of liver. Conclusion: Color doppler ultrasonography is valuable for the differential diagnosis of post-surgery jaundice after orthotopic liver transplantation.
Publication Year: 2006
Publication Date: 2006-01-01
Language: en
Type: article
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