Barrientos PAH, Bezaury RP, Casanova SIE, González AAJ, Téliz MMA, Vázquez LJ

Language: Spanish
References: 12
Page: 135-140
PDF size: 252.17 Kb.

ABSTRACT

Introduction: In Mexico, chronic liver illnesses are found between the firsts ten death causes; definite handling for hepatic terminal insufficiency is a transplant.
Objective: Identifying by means of the ultrasound, the most common complications in hepatic post-transplanted patients as much in early post-surgical as well as late stage, focused to offer opportune handling.
Material and methods: Hepatic transplants cases revision in the last ten years ( 1998-2008) accomplished at Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán” (National Medical Sciences and Nutrition Institute) of the clinical and radiological files to know trans and post-surgical ultrasound findings as well as followup evaluations.
Results: In all cases a hepatic ultrasound of the transplant was performed during the first 72 post-surgical hours. Findings reported as abnormal included hematomas, bilomas, echogenicity alterations, ascitis; flow absence at portal branches, under resistance index and flow of the hepatic artery. Long term follow-up evaluate complications progress, resolution and sequelae in parenchyma, as well as vascularity status.
Conclusions: Ultrasound is the more accessible tool for graft evaluation, from the moment earlier as it is trans-surgical one, as well as the first hours, weeks, to late follow-up of months or years. For the above, emergency data that will require opportune attention must be kept in mind.

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