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Zur Aussagekraft histopathologischer Befunde nach Lebertransplantation anhand bioptischer Verlaufsuntersuchungen

Significance of histopathologic findings after liver transplantation by serial graft biopsies

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Summary

A total of forty-four biopsies from nine liver transplantation patients, who had developed complications postoperatively, were studied histologically and, in part, electron-microscopically. Morphologic signs of acute rejection were seen in three patients, while there were indications of chronic rejection in one patient. In combined lesions, such as drug-induced hepatosis, cholangitis, hepatitis, and rejections, the interpretation of biopsy findings may be difficult, and special entities cannot in every case be separated unequivocally. Changes of serum bilirubin and of serum enzyme activity do not run entirely parallel to the microscopically detectable structural lesions. For diagnosis of complications after liver transplantation both the morphologic and the clinical findings must be considered.

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Literatur

  1. Bernuau D, Rogier E, Feldmann G (1983) A quantitative ultrastructural analysis of the leucocytes in contact with hepatocytes in chronic active hepatitis, with a cytochemical detection of mononuclear phagocytes. Am J Pathol 109:310–320

    Google Scholar 

  2. Calne R (1978) Transplantation of the liver. Ann Surg 188:129–138

    Google Scholar 

  3. Calne R (1980) Hepatic transplantation. Springer Semin Immunopathol 3:385–393

    Google Scholar 

  4. Croker BP, Borowitz MJ (1982) Cytotoxic T-cell allotaxis in human kidney rejection. Am J Clin Pathol 78:707–711

    Google Scholar 

  5. Eggink HF, Hofstee N, Gips CH, Krom RAF, Houthoff HJ (1984) Histopathology of serial graft biopsies from liver transplant recipients. Am J Pathol 114:18–31

    Google Scholar 

  6. Fennell RH, Roddy HJ (1979) Liver transplantation. The pathologist's perspective. Pathol Ann 14/2:155–182

    Google Scholar 

  7. Fennel RH (1981) Ductular damage in liver transplant rejection. Pathol Annu 16/2:289–294

    Google Scholar 

  8. Jones AE (1982) Primary biliary cirrhosis and liver transplantation. N Engl J Med 306:41–43

    Google Scholar 

  9. Neuberger J, Portmann B, Macdougal BRD, Calne RY, Williams R (1982) Recurrence of primary biliary cirrhosis after liver transplantation. N Engl J Med 306:1–4

    Google Scholar 

  10. Porter KA (1969) Pathology of the orthotopic homograft and heterograft. In: Starzl TE, Putnam CW (eds) Experience in hepatic transplantation. Saunders, Philadelphia London Toronto, pp 422–471

    Google Scholar 

  11. Roddy H, Putnam CW, Fennell RH (1976) Pathology of liver transplantation. Transplantation 22:625–630

    Google Scholar 

  12. Rumpelt HJ (1982) Pathomorphologie der Transplantatabstoßung und Nierenbiopsiediagnostik am Transplantat. Klin Wochenschr 60:1143–1154

    Google Scholar 

  13. Schmid M (1983) Arzneimittelschäden der Leber. Erg exp Med 42:103–109

    Google Scholar 

  14. Sleyster ECh, Knook DL (1982) Relation between localization and function of rat liver Kupffer cells. Lab Invest 47:484–490

    Google Scholar 

  15. Starzl TE, Iwatsuki S, Van Thiel DH, Gartner JC, Zitelli BJ, Malatack JJ, Schade RR, Hakala TR, Rosenthal JT, Porter KA (1982) Evolution of liver transplantation. Hepatology 2:614–636

    Google Scholar 

  16. Teutsch HF (1982) Chemomorphologie des Leberparenchyms. Qualitativ-histochemische Verteilungsmuster und quantitative sinusoidale Verteilungsprofile sowie der Aktivitäten der G6Pase, G6PDH und des Malic Enzyme sowie des Glykogengehaltes. Acta Histochem [Suppl-Bd XXV]: (Jena) 11–13

    Google Scholar 

  17. Van Thiel DH, Schade RR, Starzl TE, Iwatsuki S, Shaw BW, Gavaler JS, Dugas M (1982) Liver transplantation in adults. Hepatology 2:637–640

    Google Scholar 

  18. Williams R, Smith M, Shilkin KB, Herbertson B, Path MC, Joysey V, Calne RY (1973) Liver transplantation in man: the frequency of rejection, biliary tract complications, and recurrence of malignancy based on an analysis of 26 cases. Gastroenterology 64:1026–1048

    Google Scholar 

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Kunz, J., David, H., Kranz, D. et al. Zur Aussagekraft histopathologischer Befunde nach Lebertransplantation anhand bioptischer Verlaufsuntersuchungen. Klin Wochenschr 62, 1157–1164 (1984). https://doi.org/10.1007/BF01712182

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  • DOI: https://doi.org/10.1007/BF01712182

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