Evidence map›Paper›PMID 39592121›Full record

ArticleThe Kobe journal of medical sciences2024

Evaluation of Liver Fibrosis Using Shear Wave Elastography after Surgery for Congenital Biliary Dilatation.

Yudai Tsuruno, Hiroaki Fukuzawa, Mitsumasa Okamoto, Toshifumi Tada

Abstract read
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Article in The Kobe journal of medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yudai TsurunoDepartment of Pediatric Surgery, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
Hiroaki FukuzawaDepartment of Pediatric Surgery, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
Mitsumasa OkamotoDepartment of Pediatric Surgery, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
Toshifumi TadaDepartment of Internal Medicine, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLiver fibrosis is not thought to occur in patients with no adverse events after surgery for congenital biliary dilatation (CBD). However, this speculation is not supported by any reports. Real-time shear wave elastography (SWE) is a noninvasive, ultrasound-based technique to evaluate liver stiffness. We aimed to clarify the presence of liver fibrosis using SWE in patients who had undergone surgery for CBD.

methodsWe included patients who underwent radical surgery for CBD, who were followed up until March 2022, and have been performed with SWE at our institution from April 2021 to March 2022. Liver stiffness was evaluated using SWE, and liver fibrosis stages (F0-F4; METAVIR scoring) were determined based on the previously reported associations between liver stiffness and liver fibrosis. We assessed the general condition of each patient and performed routine blood investigations on the same day as SWE.

resultsTwo out of 20 patients had long-term complications (intrahepatic stones without symptoms [n = 1], recurrent cholangitis [n = 1]). The median hepatic shear wave propagation velocity was 1.26 (range, 1.12-1.60) m/s in all cases. The estimated liver fibrosis stage was ≤F1 in patients without long-term complications. In patient with recurrent cholangitis, the hepatic shear wave propagation velocity was 1.60 m/s, and the estimated liver fibrosis stage was F3.

conclusionLiver fibrosis tended not to occur in patients with no complications after surgery for CBD. However, patients with long-term postoperative complications, such as cholangitis, should be examined using SWE so as not to overlook liver cirrhosis.

Indexed as

Elasticity Imaging TechniquesLiver CirrhosisPostoperative ComplicationsAdolescentAdultAgedChildFemaleHumansLiverMaleMiddle AgedYoung AdultComplicationsCongenital biliary dilatationLiver fibrosisPostoperativeShear wave elastography

Identifiers

PMID39592121
PMCPMC11758900

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.