Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0023890 (cirrhosis)
 42,195 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Five meso-caval shunts with the use of dacron prostheses are reported in the adult. Any other type of portocaval decompression was impossible in 2 cases (splenoportal thrombosis) but this procedure was elected in 3 cases (2 Budd Chiari syndromes, 1 cirrhosis with perihepatitis). This operation proved to be technically simple and satisfactory. A cirrhotic patient died 5 days later, because of acute hepatic necrosis, the four others cases being followed by a smooth postoperative course with a favorable effect on hemorrhage and/or ascites. Thrombosis of the graft was not observed (3 angiographic controls, 2 clinically obvious patencies). The follow-up is too short (maximum one year) to extend the indications of this appealing technical procedure.
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PMID:[Mesenteric-caval anastomosis using an interposed dacron graft. Apropos of 5 cases]. 121 45

The authors report 4 cases of encapsulating perihepatitis, the macroscopic appearance of which corresponded to the morphological definition of the condition. The circumstances surrounding the diagnosis were very variable: association of ascites and porial hypertension, sub-obstructive syndrome due to associated encapsulating peritonitis, chance discovery at laparotomy or an unexpected finding at autopsy. The diagnosis was made pre-operatively in 2 cases by peritoneoscopy. All the patients had portal hypertension with, in particular, evidence of oesophageal varices. Three patients were treated surgically: hepatic decortication in all cases, combined in one another with umbilico-caval anastomosis. In all cases, the underlying perihepatic matrix produced epiglissonian fibrosis. However the inderlying hepatic lesions varied, ranging from definite cirrhosis to mild fibrosis. In one case, cirrhosis was associated with a hepato-cholangioma with nodular metastatic spread. The prognosis depended essentially upon the effects of general condition and the severity of hepatic lesions. In the light of cases reported over the past twenty years, the authors review the various clinical, pathogenic and therapeutic aspects of encapsulating perihepatitis.
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PMID:[Encapsulating perihepatitis. Report of four cases (author's transl)]. 625 94