Laparoscopic observation of liver colored with indocyanine green in chronic hepatitis. I. Improved sensitivity for diagnosis of fibrosis

We investigated the significance of intravenous injection of indocyanine green during laparoscopic examination in chronic hepatitis. The presence or absence of bridging fibrosis was estimated during laparoscopy from the pattern of lobular markings before and after indocyanine green coloration. Lapar...

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Veröffentlicht in:Gastrointestinal endoscopy 1993, Vol.39 (3), p.406-409
Hauptverfasser: Abei, Masato, Tanaka, Naomi, Matsumoto, Hisashi, Chiba, Toshiya, Matsuzaki, Yasushi, Nishi, Masaaki, Chuganji, Yoshimichi, Fukutomi, Hisayuki, Osuga, Toshiaki
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container_end_page 409
container_issue 3
container_start_page 406
container_title Gastrointestinal endoscopy
container_volume 39
creator Abei, Masato
Tanaka, Naomi
Matsumoto, Hisashi
Chiba, Toshiya
Matsuzaki, Yasushi
Nishi, Masaaki
Chuganji, Yoshimichi
Fukutomi, Hisayuki
Osuga, Toshiaki
description We investigated the significance of intravenous injection of indocyanine green during laparoscopic examination in chronic hepatitis. The presence or absence of bridging fibrosis was estimated during laparoscopy from the pattern of lobular markings before and after indocyanine green coloration. Laparoscopy without indocyanine green predicted the presence of bridging fibrosis in biopsy specimens with a low sensitivity of 0.42 (specificity, 0.8). After intravenous injection of indocyanine green, lobular markings became clearer and the sensitivity of laparoscopy in the diagnosis of bridging fibrosis was markedly increased (sensitivity, 0.89; specificity, 0.8). These results indicate that the indocyanine green coloration method improves the correspondence between laparoscopy and liver biopsy in evaluating the severity of chronic hepatitis.
doi_str_mv 10.1016/S0016-5107(93)70116-9
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After intravenous injection of indocyanine green, lobular markings became clearer and the sensitivity of laparoscopy in the diagnosis of bridging fibrosis was markedly increased (sensitivity, 0.89; specificity, 0.8). These results indicate that the indocyanine green coloration method improves the correspondence between laparoscopy and liver biopsy in evaluating the severity of chronic hepatitis.</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/S0016-5107(93)70116-9</identifier><identifier>PMID: 8514076</identifier><identifier>CODEN: GAENBQ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Biological and medical sciences ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatitis, Chronic - pathology ; Humans ; Indocyanine Green ; Laparoscopy ; Liver - pathology ; Liver Cirrhosis - epidemiology ; Liver Cirrhosis - pathology ; Liver. Biliary tract. Portal circulation. 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These results indicate that the indocyanine green coloration method improves the correspondence between laparoscopy and liver biopsy in evaluating the severity of chronic hepatitis.</description><subject>Biological and medical sciences</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepatitis, Chronic - pathology</subject><subject>Humans</subject><subject>Indocyanine Green</subject><subject>Laparoscopy</subject><subject>Liver - pathology</subject><subject>Liver Cirrhosis - epidemiology</subject><subject>Liver Cirrhosis - pathology</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Other diseases. 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subjects Biological and medical sciences
Gastroenterology. Liver. Pancreas. Abdomen
Hepatitis, Chronic - pathology
Humans
Indocyanine Green
Laparoscopy
Liver - pathology
Liver Cirrhosis - epidemiology
Liver Cirrhosis - pathology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Other diseases. Semiology
Predictive Value of Tests
Sensitivity and Specificity
title Laparoscopic observation of liver colored with indocyanine green in chronic hepatitis. I. Improved sensitivity for diagnosis of fibrosis
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