RENAL ULTRASOUND ABNORMALITIES IN CHILDREN WITH END-STAGE LIVER-DISEASE - REVERSAL BY LIVER-TRANSPLANTATION

被引:5
作者
QUERFELD, U [1 ]
BOECHAT, IM [1 ]
VARGAS, J [1 ]
HAWKINS, R [1 ]
BERQUIST, B [1 ]
KANGARLOO, H [1 ]
BUSUTTIL, RW [1 ]
FINE, RN [1 ]
机构
[1] UNIV CALIF LOS ANGELES,CTR HLTH SCI,DIV PEDIAT NEPHROL,LOS ANGELES,CA 90024
关键词
END-STAGE LIVER DISEASE; ORTHOTOPIC LIVER TRANSPLANTATION; PORTAL HYPERTENSION; RENAL ULTRASOUND; RENAL HYPERTROPHY;
D O I
10.1007/BF00852833
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
Ultrasound (US) imaging of the kidneys was performed in 43 pediatric patients with end-stage liver disease evaluated for orthotopic liver transplantation. Renal size was increased in 8 patients (19%) and echogenicity of the kidneys was increased in 12 patients (28%). In 12 patients studied after liver transplantation, US revealed normal renal size in all and increased echogenicity in only 2 patients shortly after transplantation. Normalization of renal US findings was also found in 2 patients studied before and after liver transplantation. The glomerular filtration rate varied from 65 to 225 ml/min per 1.73 m2 in 5 patients with abnormal US, and from 74 to 116 ml/min per 1.73 m2 in 3 patients with normal US. Nephromegaly and increased echogenicity on renal US are frequent in children with end-stage liver disease and appear to be mostly reversible by liver transplantation.
引用
收藏
页码:18 / 21
页数:4
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