Follow Up Studies Of Liver Cirrhosis

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概要

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• Five year and ten year survival rates of liver cirrhosis diagnosed with peritoneoscopies and liver biopsies were studied. We have followed up a total of 313 cases classified by our peritoneoscopic patterns. This consists of 147 cases in the code number (ban-chi, in Japanese) 100 or 200 (grossly smooth surface and histologically acute hepatitis, chronic hepatitis and those with mild portal fibrosis and/or fatty metamorphosis), 70 cases in the code number 300 (grossly mesh-work pattern without nodules found and histologically precirrhotic stage, chronic hepatitis and liver cirrhosis of the early stage), 66 cases in the code number 400 (moundshaped nodules with histologically liver cirrhosis) and 30 cases in the code number 500 (semispherical nodules with histologically liver cirrhosis). Those cases in the code numbers 100 and 200 have been followed up for at least 10 years and those in the code numbers 300, 400 and 500 have been for at least 5 years since the first examinations.The 5-year survival rates of liver cirrhosis (those in the code numbers 400 and 500) between ages of 20 to 29 and 30 to 39 at the first examination were as high as 80.0% and 89.5% respectively, whereas that of the 4th and 5th decades showed as low as 58.8% and 50.0% respectively. According to calculations using the life table method, the life expectancy of the patients became shorter as the code numbers became greater. Five-year survival rates of the code numbers in 100 and 200, 300, 400 and 500 were 96.6%, 95.6%, 72.3% and 53.3% respectively, and those after 10 years were 95.9%, 70.0%, 37.9% and 24.0% respectively. In the code numbers 100 and 200 one out of 6 fatal cases (16.7%) was dead by a liver cirrhosis, in the code number 300 12 out of 13 (92.3%) were dead by liver diseases (10 cases by liver cirrhosis and 2 cases by liver cancer), in the code number 400 25 out of 27 (92.6%, 22 cases by liver cirrhosis and 3 cases by liver cancer) and in the code number 500 16 out of 19 (84.2%, all liver cirrhosis).Therefore, the code numbers in three digits according to our peritoneoscopic classifications on the liver surface patterns will predict outcome of the patients with viral hepatitis and liver cirrhosis, sufficiently.

• 財団法人 日本消化器病学会の論文

著者

• 太田 亘

  岡山大学医学部 第1内科

• 窪田 政寛

  岡山大学医学部 付属病院中央検査部

• 島田 宜浩

  岡山大学医学部 第1内科

• 糸島 達也

  岡山大学医学部 第1内科

• 井上 武紀

  岡山大学医学部小坂内科

• 福原 純一

  岡山大学医学部小坂内科

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