The Measurement of Aldosterone as a Parameter to Evaluate Portopulmonary Shunt
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概要
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The effect of splenopneumopexy on hyperaldosteronism caused by constriction of the thoracic inferior vena cava was studied. In the experiments, the double isotope dilution derivative method of Brodie <I>et al.</I> (1967) have been used and found to be an adequate and reliable method for the study of aldosterone in peripheral plasma. Hyperaldosteronism following thoracic inferior vena caval constriction was significantly relieved by a portopulmonary shunt. Ascites was well controlled. Improvement of systemic and hepatic hemodynamics which allow aldosterone metabolism to proceed seems the most likely mechanism.<BR>Our data support the clinical impression that splenopneumopexy is an effective procedure to control the ascites associated with portal hypertension, especially in the Budd-Chiari syndrome.
- 社団法人 日本内分泌学会の論文
著者
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SAKODA KORO
Second Department of Surgery, Kagoshima University School of Medicine
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Kurokawa Yoshikazu
Second Department of Surgery, Kagoshima University School of Medicine
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KOJIMA YOICHIRO
Second Department of Surgery, Kagoshima University School of Medicine
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AKITA HACHINEN
Second Department of Surgery, Kagoshima University School of Medicine