A histometric analysis of chronically rejected human liver allografts: Insights into the mechanisms of bile duct loss: Direct immunologic and ischemic factors

Shiro Oguma, Steven Belle, Thomas E. Starzl, A. Jake Demetris – 1 February 1989 – Conspicuous pathologic features of chronic liver allograft rejection include bile duct loss and chronic obliterative arteriopathy. A quantitative histometric analysis was performed to document the extent of bile duct loss, the size of the “vanished” ducts and the extent of chronic obliterative arteriopathy and to determine whether there was any relationship between chronic obliterative arteriopathy and bile duct loss.

Serum high‐density lipoprotein particles of alcohol‐fed rats are deficient in apolipoprotein E

Renee C. Lin, Lawrence Lumeng, Vickie L. Phelps – 1 February 1989 – Effects of chronic ethanol consumption on serum lip–oproteins have been studied in the rat. The serum levels of triglycerides, cholesterol, phospholipids and apolipo‐proteins AI and AIV increased significantly after 1 week of ethanol feeding, and they remained elevated up to 7 weeks of alcohol drinking. By contrast, serum total apolipoprotein E decreased or, sometimes, did not change.

Laser‐assisted angioplasty of inferior vena caval obstructions: What's good for the artery is good for the vein

Lawrence I. Deckelbaum – 1 February 1989 – Three cases of hepatic inferior vena cava (IVC) obstruction (two segmental and one membranous) associated with Budd‐Chiari syndrome were successfully treated with percutaneous transluminal angioplasty (PTA) with use of an Nd‐YAG (neodymium‐yttrium, aluminum, garnet) laser. The occluded portions were canalized by advancing a ceramic‐capped delivery system and delivering intermittent laser emissions. The canal was widened by simultaneous inflation of three or four Gruentzig balloon catheters.

Combination of ketanserin and verapamil or propranolol in patients with alcoholic cirrhosis: Search for an additive effect

Antoine Hadengue, Richard Moreau, Raimondo Cerini, Abraham Koshy, Samuel S. Lee, Didier Lebrec – 1 January 1989 – Drugs reported to reduce portal pressure through different mechanisms were combined in the hope of either additive portal hypotensive effects in “responders,” or inducing a portal hypotensive effect in “nonresponders” to the initial drug. Seven patients with alcoholic cirrhosis received verapamil, 10 mg i.v., and, 60 min later, ketanserin, 5 mg i.v.

The role of membranous obstruction of the inferior vena cava in the etiology of hepatocellular carcinoma in southern African Blacks

Michael C. Kew, Ann McKnight, John Hodkinson, Stanley Bukofzer, Jan D. Esser – 1 January 1989 – Membranous obstruction of the inferior vena cava has been incriminated as a risk factor for hepatocellular carcinoma in South African Blacks and in Japanese. However, the frequency with which this anomaly is found in patients with hepatocellular carcinoma, and hence its numerical importance as an etiological association of the tumor, has not been ascertained.

Prostatic hypertrophy in the elderly cirrhotic patient: An estrogenic or androgenic response?

David H. Van Thiel, Judith S. Gavaler – 1 January 1989 – In elderly males hormonal changes occur that are believed to cause benign prostatic hyperplasia (BPH). These are decreased testosterone production, an increased testosterone SHBG and a slightly increased estradiol production. Liver cirrhosis in males causes similar endocrine changes. We carried out a post mortem study evaluating the prostates of 51 men who died with liver cirrhosis compared with a similar group without any hepatic disease.

Different capacities for amino acid transport in periportal and perivenous hepatocytes isolated by digitonin/collagenase perfusion

Hans‐Jörg Burger, Rolf Gebhardt, Claus Mayer, Dieter Mecke – 1 January 1989 – Periportal and perivenous hepatocytes were isolated from rat liver by digitonin/collagenase perfusion for investigating the acinar heterogeneity of amino acid transport activities related to glutamine and ammonia metabolism.

Primary lymphoma of the liver: A more optimistic point of view

Peter P. Anthony – 1 January 1989 – Nine adult white men ranging in age from 27 to 76 (mean, 55 years) were treated for primary hepatic lymphoma between 1972 and 1986 at the Memorial Sloan‐Kettering Cancer Center. Six patients presented with right upper quadrant or epigastric pain or discomfort, and three patients complained of fatigue and lethargy. Fever and night sweats were evident in two, and two patients had lost weight. One patient was asymptomatic; the liver mass was detected during the work‐up for cancer of the prostate.

Subscribe to