Changes in laparoscopic findings in accordance with progression of alcoholic liver fibrosis.

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  • アルコール性肝線維症の腹腔鏡像の特徴　　線維症の進展に伴う腹腔鏡像の推移を中心として

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Abstract

The thirty patients with alcoholic liver fibrosis diagnosed by liver biopsy under laparoscopic examination were subdivided into 3 groups (slight, moderate, severe stage) according to the severity of fibrosis, and laparoscopic findings in each group were studied. In 8 patients with slight stage of alcoholic liver fibrosis, the fine spotty or branching white markings were found in 4 patients. In 15 patients with moderate stage of alcoholic liver fibrosis, fine mesh like structure (0.5-1.5 mm in diameter) were found in 7 (46.7%), and small prenodular elevation (0.5-2.0 mm in diameter) were found in 6 (40.0%). In 7 patients with severe (precirrhotic) stage of alcoholic liver fibrosis, fine mesh like structure were found in 6 (85.7%), and small prenodular elevation in all cases (100.0%). It is concluded that, although laparoscopic changes in alcoholic liver fibrosis showed the same process as chronic viral hepatitis ; that is (1) block formation of the liver surface, (2) prenodular elevation (3) nodule formation, the size of all these three process is far more smaller in the alcoholic liver fibrosis as compared with chronic viral hepatitis.

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