Postprandial reversal of the portal venous flow in a patient with liver cirrhosis

被引：3

作者：

deVries, PJ

deHooge, P

Hoekstra, JBL

vanHattum, J

机构：

[1] UNIV UTRECHT HOSP,DEPT GASTROENTEROL,UTRECHT,NETHERLANDS

[2] DIAKONESSEN HOSP,DEPT DIAGNOST IMAGING,UTRECHT,NETHERLANDS

[3] DIAKONESSEN HOSP,DEPT INTERNAL MED,UTRECHT,NETHERLANDS

来源：

NETHERLANDS JOURNAL OF MEDICINE | 1995年 / 47卷 / 05期

关键词：

portal hypertension; liver cirrhosis; portal venous flow; postprandial flow reversal; hepatocellular; carcinoma;

D O I：

10.1016/0300-2977(95)00028-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The case of a 61-year-old man with alcoholic liver cirrhosis and a hepatocellular carcinoma is presented. He was examined with duplex Doppler before and after a meal. In the fasting state a sluggish hepatopetal portal venous flow was found. After the meal a pendulating flow and then hepatofugal flow were found. The magnitude and direction of flow alternated synchronously with the action of the heart, suggesting a significant role for the hepatic artery in the postprandial reversal of portal venous flow. One year after this examination the patient died from the complications of decompensated cirrhosis and liver failure. At autopsy a large hepatocellular carcinoma was detected.

引用

页码：235 / 240

页数：6

共 22 条

[1] EFFECT ON HEMODYNAMICS OF A LIQUID MEAL ALONE AND IN COMBINATION WITH PROPRANOLOL IN CIRRHOSIS [J].