Formation of hilar collaterals or cavernous transformation after portal vein obstruction by hepatocellular carcinoma: observations in ten patients

A total of 155 patients with hepatocellular carcinoma were studied by celiac and superior mesenteric angiography. Complete (9 patients) or near complete (1 patient) obstruction of the portal vein and formation of hepatopetal collateral veins in the porta hepatis, or the so-called cavernous transform...

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Veröffentlicht in:Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 1984-11, Vol.87 (5), p.1150-1153
Hauptverfasser: OHNISHI, K, OKUDA, K, OHTSUKI, T, NAKAYAMA, T, HIYAMA, Y, IWAMA, S, GOTO, N, NAKAJIMA, Y, MUSHA, N, NAKASHIMA, T
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container_end_page 1153
container_issue 5
container_start_page 1150
container_title Gastroenterology (New York, N.Y. 1943)
container_volume 87
creator OHNISHI, K
OKUDA, K
OHTSUKI, T
NAKAYAMA, T
HIYAMA, Y
IWAMA, S
GOTO, N
NAKAJIMA, Y
MUSHA, N
NAKASHIMA, T
description A total of 155 patients with hepatocellular carcinoma were studied by celiac and superior mesenteric angiography. Complete (9 patients) or near complete (1 patient) obstruction of the portal vein and formation of hepatopetal collateral veins in the porta hepatis, or the so-called cavernous transformation of the portal vein, were seen in 10 patients. In 4 patients, the first angiogram did not show cavernous transformation, but on the follow-up angiograms cavernous transformation was present. The suggested interval between obstruction of the portal vein and formation of cavernous transformation was no more than 5 wk. The mechanism of cavernous transformation and its clinical implications are briefly discussed.
doi_str_mv 10.1016/S0016-5085(84)80077-3
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The mechanism of cavernous transformation and its clinical implications are briefly discussed.</description><identifier>ISSN: 0016-5085</identifier><identifier>EISSN: 1528-0012</identifier><identifier>DOI: 10.1016/S0016-5085(84)80077-3</identifier><identifier>PMID: 6090259</identifier><identifier>CODEN: GASTAB</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Biological and medical sciences ; Carcinoma, Hepatocellular - complications ; Celiac Artery - diagnostic imaging ; Collateral Circulation ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver - blood supply ; Liver Neoplasms - complications ; Liver. Biliary tract. Portal circulation. 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Abdomen</subject><subject>Humans</subject><subject>Liver - blood supply</subject><subject>Liver Neoplasms - complications</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Mesenteric Arteries - diagnostic imaging</subject><subject>Neoplasm Invasiveness</subject><subject>Portal Vein - diagnostic imaging</subject><subject>Portal Vein - pathology</subject><subject>Radiography</subject><subject>Time Factors</subject><subject>Tumors</subject><issn>0016-5085</issn><issn>1528-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kNFKwzAUhoMoc04fYZALEb2oJmnTpN7JcCoMvFCvy2masErb1CQd7DV8YrM5louEw_-d_5z8CM0puaeE5g8fJN4JJ5LfyuxOEiJEkp6gKeVMJlFjp2h6RM7RhfffhJAilXSCJjkpCOPFFP0uresgNLbH1uB104LDyrYtBO2g9djGEjba9Xb0ODjovTk2gIkQHqwL0OKNbqJF5YMb1V6ttnitBwhW6bYd977gVNPbDh53oHabvY3HsTHoHke20X3wl-jMxNH66vDO0Nfy-XPxmqzeX94WT6tkoJyERJvcaJ6nwIWQRc2yNKslr-JhkmSVECBZYXJScS5pVoECoo0yLDPa1CSFdIZu_n0HZ39G7UPZNX63LPQ6_raUlGVZKkQE5wdwrDpdl4NrOnDb8hBi1K8POngFrYkpqcYfMVlIyShN_wAdload</recordid><startdate>198411</startdate><enddate>198411</enddate><creator>OHNISHI, K</creator><creator>OKUDA, K</creator><creator>OHTSUKI, T</creator><creator>NAKAYAMA, T</creator><creator>HIYAMA, Y</creator><creator>IWAMA, S</creator><creator>GOTO, N</creator><creator>NAKAJIMA, Y</creator><creator>MUSHA, N</creator><creator>NAKASHIMA, T</creator><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198411</creationdate><title>Formation of hilar collaterals or cavernous transformation after portal vein obstruction by hepatocellular carcinoma: observations in ten patients</title><author>OHNISHI, K ; OKUDA, K ; OHTSUKI, T ; NAKAYAMA, T ; HIYAMA, Y ; IWAMA, S ; GOTO, N ; NAKAJIMA, Y ; MUSHA, N ; NAKASHIMA, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p150t-ef6fe563a57789d2434d85bbbb2804b77a829f60b55814baca0efcf24fefd03a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Hepatocellular - complications</topic><topic>Celiac Artery - diagnostic imaging</topic><topic>Collateral Circulation</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Liver - blood supply</topic><topic>Liver Neoplasms - complications</topic><topic>Liver. Biliary tract. Portal circulation. 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source MEDLINE; ScienceDirect Journals (5 years ago - present); Alma/SFX Local Collection
subjects Biological and medical sciences
Carcinoma, Hepatocellular - complications
Celiac Artery - diagnostic imaging
Collateral Circulation
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver - blood supply
Liver Neoplasms - complications
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Mesenteric Arteries - diagnostic imaging
Neoplasm Invasiveness
Portal Vein - diagnostic imaging
Portal Vein - pathology
Radiography
Time Factors
Tumors
title Formation of hilar collaterals or cavernous transformation after portal vein obstruction by hepatocellular carcinoma: observations in ten patients
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