scholarly journals Hepatofugal Portal Venous Flow: From Normal to Pathological

Author(s):  
Anca Dragean ◽  
Emmanuel Coche ◽  
Margaux Collard ◽  
Marin Halut

Whether segmental or diffuse, a hepatofugal blood flow is almost always pathological. Over the years, Doppler ultrasonography has retained its position as one of the most accessible and physiological imaging techniques to evaluate the direction of the portal blood flow. Detection of a reverse flow is important as it may change patient care and outcome.

2011 ◽  
Vol 94 (6) ◽  
pp. 2964-2971 ◽  
Author(s):  
A. Starke ◽  
S. Schmidt ◽  
A. Haudum ◽  
T. Scholbach ◽  
P. Wohlsein ◽  
...  

1975 ◽  
Vol 41 (2) ◽  
pp. 596-600 ◽  
Author(s):  
L. R. Prewitt ◽  
D. R. Jacobson ◽  
R. W. Hemken ◽  
R. H. Hatton

HPB Surgery ◽  
1996 ◽  
Vol 9 (4) ◽  
pp. 245-248 ◽  
Author(s):  
F. Jakab ◽  
Z. Ráth ◽  
F. Schmal ◽  
P. Nagy ◽  
J. Faller

Data regarding the afferent circulation of the liver in patients with primary hepatocellular carcinoma are controversial, we have carried out measurement of hepatic arterial and portal venous flow intraoperatively by transit time ultrasonic volume flowmetry. In patients with primary hepatocellular carcinoma the hepatic artery flow increased to 0.55±0.211 compared with the control value of 0.37±0.102 1/min. (p<0.01). The portal venous flow decreased from 0.61±0.212 l/min, to 0.47±l/min. p<0.01). Due to the opposite changes in the afferent circulation the total hepatic blood flow did not change significantly, compared with controls.The ratio of hepatic arterial flow to portal vein flow increased to 1.239±0.246 in patients with hepatocellular carcinoma, which is double of the control value (0.66±0.259 l/min). After resection this ratio did not change.The resection did not alter hepatic artery or portal venous flow significantly, although the total hepatic blood flow decreased significantly (p<0.01).On the basis of our early results it is possible that the ratio of the two circulations may be to deel measured with doppler ultrasound and provide diagnostic information.


1970 ◽  
Vol 172 (2) ◽  
pp. 284-290 ◽  
Author(s):  
DENIS F. J. HALMAGYI ◽  
ANTHONY H. GOODMAN ◽  
MILES J. LITTLE ◽  
MERRILYN KENNEDY ◽  
DESMOND VARGA

Surgery Today ◽  
1994 ◽  
Vol 24 (7) ◽  
pp. 621-626 ◽  
Author(s):  
Kazuhiro Tsukada ◽  
Takeo Sakaguchi ◽  
Takemi Tomiyama ◽  
Katsuyuki Uchida ◽  
Yoshinobu Sato ◽  
...  

Surgery ◽  
1997 ◽  
Vol 121 (1) ◽  
pp. 95-101 ◽  
Author(s):  
Alexander S Rosemurgy ◽  
James G Norman ◽  
Sarah E Goode

2017 ◽  
Vol 37 (10) ◽  
pp. 1172-1176 ◽  
Author(s):  
Alexandra F. Belotta ◽  
Bianca P. Santarosa ◽  
Danilo O.L. Ferreira ◽  
Sílvia M.F. Carvalho ◽  
Roberto C. Gonçalves ◽  
...  

ABSTRACT: Pulsed Doppler ultrasound was used to evaluate portal blood flow, portal velocity and portal congestion index in 24 healthy sheep divided into groups (lambs, yearlings and ewes), according to age. Measurements were performed at the 11th right intercostal space using ideal insonation angle and uniform insonation method. Mean values obtained in each group were compared with one-way ANOVA, followed by Tukey post-hoc test. Portal velocity and portal blood flow were statistically similar between the groups (P>0.05). Mean portal velocity were 17.75; 17.13 and 16.75; while mean portal blood flow were 26.65; 31.04 and 24.32 for lambs, yearlings and ewes, respectively. Portal congestion index was statistically distinct between the groups and values for lambs, yearlings and ewes were 0.009; 0.058 and 0.09, respectively (P<0.01). Statistical differences were observed in portal vein diameter, portal vein area and portal congestion index between the groups, presumably due to influence of weight and not to age.


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