The effect of liver transplantation on circulating levels of estradiol and progesterone in male patients: Parallelism with hepatopulmonary syndrome and systemic hyperdynamic circulation improvement

Autor: Boixeda D, José Luis Moya, Rafael Bárcena, Conrado M. Fernández-Rodríguez, Víctor Moreira, D.A. de Luis, S. Ávila, Rocío Aller, A. L. San Roman
Rok vydání: 2001
Předmět:
Zdroj: Journal of Endocrinological Investigation. 24:503-509
ISSN: 1720-8386
0391-4097
DOI: 10.1007/bf03343883
Popis: The correction of hepatopulmonary syndrome (HPS) after liver transplantation (LT) remains controversial. The aims of our study were to: 1) analyze whether LT reverses HPS; 2) note any relationship between HPS and the systemic hemodynamic disturbance; and 3) note changes in circulating sex hormones and the possible association with pulmonary and systemic hemodynamic changes. Systemic hemodynamic parameters, cardiac output and systemic vascular resistance (SVR), sex hormones, and intrapulmonary vasodilatation assessed by contrast transesophageal echocardiography, and gas exchange abnormalities were investigated in 19 patients with advanced cirrhosis prior to and 6 months (176.8+/-30 days) after LT. LT was followed by a marked reduction in cardiac output (6.6+/-1.7 vs 3.5+/-0.5 l/min; p
Databáze: OpenAIRE