Dtsch Med Wochenschr 2016; 141(13): 933-939
DOI: 10.1055/s-0042-103977
Dossier
Nachsorge nach Organtransplantation
© Georg Thieme Verlag KG Stuttgart · New York

Sonografie der transplantierten Leber

Ultrasound of livertransplants
Alexander Miks
1   Klinik für Transplantationsmedizin, Universitätsklinikum Münster
,
Miriam Maschmeier
1   Klinik für Transplantationsmedizin, Universitätsklinikum Münster
,
Anna Hüsing
1   Klinik für Transplantationsmedizin, Universitätsklinikum Münster
,
Hartmut Hans-Jürgen Schmidt
1   Klinik für Transplantationsmedizin, Universitätsklinikum Münster
,
Christian Wilms
1   Klinik für Transplantationsmedizin, Universitätsklinikum Münster
› Author Affiliations
Further Information

Publication History

Publication Date:
30 June 2016 (online)

Zusammenfassung

Das Langzeitüberleben von Lebertransplantierten liegt bei 70–75 %. Im frühen Verlauf sind vaskuläre und im späteren Verlauf biliäre Komplikationen wichtige Ursachen der Morbidität. Mithilfe der Sonografie, insbesondere mit Hinzunahme der Kontrastmittelsonografie, ist eine zuverlässige Diagnose möglich. Auf weitere bildgebende Verfahren sollte im Einzelfall nicht verzichtet werden. Die Therapie bleibt dem interventionellen Gastroenterologen bzw. Radiologen oder Chirurgen vorbehalten.

Abstract

The overall long-term survival rate of liver transplant patients is 70–75 %. During the early stages, the complications are vascular in nature, and in the later stages, biliary complications are major causes of morbidity. With the help of sonography, in particular with the addition of contrast enhanced ultrasound, a reliable diagnosis is possible. Despite this, in individual cases, other additional imaging methods should still be employed. The therapy should be used exclusively by interventional gastroentologists, radiologists or surgeons.

 
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