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Acta cir. bras ; 33(9): 785-791, Sept. 2018. graf
Article Dans Anglais | LILACS | ID: biblio-973499

Résumé

Abstract Purpose: To evaluate the morphological effects of injected sclerosing agents into the liver. Methods: This study was performed on twenty dogs, distributed into five groups: Group 1 (n = 5) - control, Group 2 (n = 5) - injection of 50% glucose solution inside hepatic parenchyma and animals followed during seven days, Group 3 (n = 10) - injection of ethanol inside hepatic parenchyma and animals distribution into two subgroups Subgroup 3A (n = 5) - followed during 24 hours and subgroup 3B (n = 5) - followed during seven days (group 3B), Group 4 (n = 5) - ethanol injection inside left portal vein branch and followed during 24 hours. Livers were macroscopically evaluated, submitted to hepatic arteriography and portography, then histology. Results: All animals in Group 4 died within 23 hours due to diffuse hepatic necrosis. The animals of groups 2 and 3 had a satisfactory evolution. Fibrosis formed in the segment reached by the sclerosant solution and interruption of the contrast flow injected into the portal system. Conclusion: Intrahepatic parenchymal ethanol injection is well tolerated and causes sclerosis restricted to a specific segment; however, intraportal ethanol injection causes massive hepatic necrosis and can lead to death.


Sujets)
Animaux , Mâle , Chiens , Veine porte/effets des médicaments et des substances chimiques , Foie/effets des médicaments et des substances chimiques , Veine porte/anatomopathologie , Veine porte/imagerie diagnostique , Solutions sclérosantes/pharmacologie , Sclérose/induit chimiquement , Sclérose/anatomopathologie , Sclérose/imagerie diagnostique , Portographie , Foie/anatomopathologie , Foie/imagerie diagnostique
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