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Changes in Distribution of Splenic Venous Flow in the Patients with Cirrhotic Liver

Research Project

Project/Area Number 13671350
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionNippon medical school

Principal Investigator

TAJIRI Takashi  Nippon Medical School, Graduate School of Medicine, Professor, 大学院・医学研究科, 教授 (20163462)

Co-Investigator(Kenkyū-buntansha) TANIAI Nobuhiko  Nippon medical School, Assistant, 医学部, 助手 (20287725)
MAMADA Yasuhiro  Nippon Medical School, Assistant, 医学部, 助手 (40312061)
YOSHIDA Hiroshi  Nippon medical School, Assistant Professor, 医学部, 講師 (60246999)
恩田 昌彦  日本医科大学, 医学部, 教授 (70089697)
Project Period (FY) 2001 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 2003: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2002: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 2001: ¥900,000 (Direct Cost: ¥900,000)
Keywordsliver cirrhosis / liver volume / portal hemodynamics / Scintiphotosplenoportography / Technetium-99m-diethylenetriaminepentaacetic acid-galactosylated human serum albumin / 代償性肥大 / 脾摘 / 肝再生 / 脾静脈血
Research Abstract

We studied the distribution of splenic venous flow in the liver of patients with normal liver (NL group, n=15), chronic hepatitis (CH group, n=8), and liver cirrhosis (LC group, n=13) with the technique of scintiphotosplenoportography (SSP) after percutaneous intrasplenic injection of Technetium-99m-diethylenetriaminepentaacetic asid-galactosyl-human serum albumin (99mTc-GSA). The index of splenic venous flow volume per unit hepatocytes (V_<unit>) was calculated in each hepatic lobe. To compare V value of the left lobe (VL_<unit>) with that of the right lobe (VR_<unit>), predominant index of the left lobe (L/R index) was defined as L/R index=VL_<unit>/VR_<unit>. The median (interquartile range) of L/R index of LC group; 1.22 (1.06-1.70) was significantly higher than that of NL group; 0.83 (0.66-0.92), p<0.001 and CH group; 0.79 (0.69-0.92), p<0.001. L/R index reflects the change of portal hemodynamics in cirrhotic liver and is useful for discrimination between noncirrhosis and cirrhosis. These results suggest that in the liver exposed to continuous damages, splenic venous blood promotes liver fibrosis in the right lobe and eventually flows more into the left lobe with milder fibrosis.

Report

(4 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • 2001 Annual Research Report
  • Research Products

    (29 results)

All Other

All Publications (29 results)

  • [Publications] Tajiri T, et al.: "A comparison of combination endoscopic therapy and interventional radiology with esophageal transection for the treatment of esophageal varices."Hepato-Gas troenterology. 49. 1552-1554 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Tajiri T, et al.: "The natural history of gastric varices"Hepato-Gas troenterology. 49. 1180-1182 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Tajiri T, et al.: "Long-term hematological and biochemical effects of partial splenic embolization in hepatic cirrhosis"Hepato-Gastroenterology. 49. 1445-1448 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Mamada Y, Tajiri T, et al.: "Long-term prognosis after arterio-portal embolization for hepatocellular carcinoma"Hepato-Gastroenterology. 51. 234-236 (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Akimaru K, Tajiri T, et al.: "Hypersplenism induced by hepatectomy"Hepato-Gastroenterology. 48. 1170-1175 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kaneko M, Tajiri T, et al.: "A new method of functional scintiphotosplenoportography using technetium-99m-DTPA-galactosylated human serum albumin."Hepato-Gas troenterology. 47. 1636-1641 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Tajiri T, Onda M, Yoshida H, Mamada Y, Taniai N, Yamashita K: "Comparison of the long-term results of distal splenorenal shunt and esophageal transection for the treatment of esophageal varices."Hepato-Gastroenterol. 47. 1619-1621 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kaneko M, Onda M, Tajiri T, Yoshida H, Kumita S, Kumazaki T: "A new method of functional scintiphotosplenoportography using technetium -99m-DTPA-galactosylated human serum albumin."Hepato-Gastroenterol. 47. 1636-1641 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Taniai N, Onda M, Tajiri T, Yoshida H, Mamada Y: "Interventional radiology and endoscopic therapy for rucurrent esophageal varices."Hepato-Gastroenterol. 48. 133-136 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Akimaru K, Onda M, Tajiri T, Yoshida H, Yokomuro S, Mamada Y, Taniai N: "Hypersplenisrn induced by hepatectomy."Hepato-Gastroenterol. 48. 1170-1175 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yoshida H, Onda M, Tajiri T, Mamada Y, Taniai N: "New techniques : combined endoscopic injection scierotherapy and ligation for acute bleeding from gastric varices."Hepato-Gastroenterol. 49. 932-934 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yoshida H, Onda M, Tajiri T, Mamada Y, Taniai N: "Endoscopic findings of bleeding esophagogastric varices."Hepato-Gastroenterol. 49. 1287-1289 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yoshida H, Onda M, Tajiri T, Mamada Y, Taniai N: "Endoscopic findings of bleeding esophagogastric varices."Hepato-Gastroenterol. 49. 1287-1289 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yoshida H, Onda M, Tajiri T, Toba M, Umehara M, Mamada Y, Taniai N, Yamashita K: "Endoscopic injection sclerotherapy for the treatment of reccurent esophageal varices after esophageal transection."Digest Endosc. 14. 93-98 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Tajiri T, Onda M, Yoshida H, Mamada Y, Taniai N: "Long-term hematological effects of partial splenic embolization in hepatic cirrhosis."Hepato-Gastroenterol. 49. 1445-1448 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Tajiri T, Onda M, Yoshida H, Mamada Y, Taniai N: "A comparison of combination endoscopic therapy and interventional radiology with esophageal transection for the treatment of esophageal varices."Hepato-Gastroenterol. 49. 1552-1554 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Tajiri T, Onda M, Yoshida H, Mamada Y, Taniai N: "Natural history of gastric varices."Hepato-Gastroenterol. 49. 1180-1182 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Tajiri T, Onda M, Yoshida H, Mamada Y, Taniai N: "Endoscopic scleroligation is a superior new technique for preventing recurrence of esophageal varices."J Nippon Med Sch. 69. 160-164 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Taniai N, Onda M, Tajiri T, Yoshida H, Mamada Y: "Combined endoscopic and radiologic intervention to treat esophageal varices."Hepato-Gastroenterol. 49. 984-988 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Tajiri T, et al.: "A comparison of combination endoscopic therapy and interventional radiology with esophageal transection for the treatment of esophageal varices."Hepato-Gastroenterology. 49. 1552-1554 (2002)

    • Related Report
      2003 Annual Research Report
  • [Publications] Tajiri T, et al.: "The natural history of gastric varices"Hepato-Gastroenterology. 49. 1180-1182 (2002)

    • Related Report
      2003 Annual Research Report
  • [Publications] Tajiri T, et al.: "Long-term hematological and biochemical effects of partial splenic embolization in hepatic cirrhosis"Hepato-Gastroenterology. 49. 1445-8144 (2002)

    • Related Report
      2003 Annual Research Report
  • [Publications] Mamada Y, Tajiri T, et al.: "Long-term prognosis after arterio-portal embolization for hepatocellular carcinoma"Hepato-Gastroenterology. 51. 234-236 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Akimaru K, Tajiri T, et al.: "Hypersplenism induced by hepatectomy"Hepato-Gastroenterology. 48. 1170-5 (2001)

    • Related Report
      2003 Annual Research Report
  • [Publications] Tajiri T. et al.: "Long-term hematological effects of partial splenic embalization in hepatic cirrhosis"Hepato-Gastroenterology. 49. 1445-1448 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Tajiri T. et al.: "The natural history of gastric varices"Hepato-Gastroenterology. 49. 1180-1182 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Tajiri T. et al.: "A comparison of combination endoscopic therapy and IVR with esophageal transection for the treatment of esophageal varices"Hepato-Gastroenterology. 49. 1552-1554 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Kaneko M., Tajiri T.et al.: "A new method of functional SSP using Tc-99mGSA"Hepato-Gastroenterology. 49. 1628-1633 (2000)

    • Related Report
      2002 Annual Research Report
  • [Publications] Akimaru K., Tajiri T.et al.: "Hypersplenism induced by hepatectomy"Hepato-Gastroenterology. 48. 1170-1175 (2001)

    • Related Report
      2002 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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