PMID- 14515741 OWN - NLM STAT- MEDLINE DCOM- 20031104 LR - 20161124 IS - 1341-8963 (Print) IS - 1341-8963 (Linking) VI - 38 IP - 4 DP - 2003 Aug TI - [Clinical significance of hepatic and splenic volumes measured by computed tomography in patients with alcoholic liver cirrhosis]. PG - 321-34 AB - Hepatic and splenic volumes were measured by computed tomography in 43 patients with alcoholic liver cirrhosis (AL-LC), 10 patients with HBs antigen-positive liver cirrhosis (B-LC), 6 patients with HCV associated liver cirrhosis (C-LC) and 6 healthy subjects. Hepatic volume was significantly larger in the patients with AL-LC than in those with B-LC, those with C-LC or healthy subjects. Hepatic volume in patients with AL-LC was also significantly larger in the anti-HBc antibody (anti-HBc)-negative patients than in the anti-HBc-positive patients. This data suggests HBV occult infection may decrease hepatic volume. Hepatic volume showed significantly positive correlations with serum levels of total bilirubin (T. bil), gamma-GTP, type IV collagen levels, continuing alcohol intake and Child-Pugh score, and also showed significant negative correlation with cumulative alcohol intake and prothrombin time (PT). Splenic volume showed significantly positive correlations with serum levels of T. bil and Child-Pugh score, and also showed significantly negative correlations with serum albumin, PT, platelet count and BCAA (branched chain amino acids)/tyrosine ratio. Stepwise logistic regression analysis showed that enlarged hepatic volume, presence of hepatocellular carcinoma and elevated serum gamma-GTP were independently significant risk factors for the development of hepatic failure. Serial determination of hepatic and splenic volume may be useful for the estimation of liver function and prognosis in the patients with AL-LC. FAU - Furushima, Hiroyuki AU - Furushima H AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, Daisan Hospital, Jikei University School of Medicine, 4-11-1, Izumihon-cho, Komae, Tokyo 201-8601, Japan. FAU - Ito, Shyuji AU - Ito S FAU - Sakabe, Shunichi AU - Sakabe S FAU - Kanai, Eichi AU - Kanai E FAU - Yamauchi, Masayoshi AU - Yamauchi M LA - jpn PT - Journal Article PL - Japan TA - Nihon Arukoru Yakubutsu Igakkai Zasshi JT - Nihon Arukoru Yakubutsu Igakkai zasshi = Japanese journal of alcohol studies & drug dependence JID - 9612304 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - Hepatitis B/complications/diagnostic imaging/pathology MH - Humans MH - Liver/*diagnostic imaging/*pathology MH - Liver Cirrhosis, Alcoholic/complications/*diagnostic imaging/*pathology MH - Male MH - Middle Aged MH - Prognosis MH - Spleen/*diagnostic imaging/*pathology MH - *Tomography, X-Ray Computed EDAT- 2003/10/01 05:00 MHDA- 2003/11/05 05:00 CRDT- 2003/10/01 05:00 PHST- 2003/10/01 05:00 [pubmed] PHST- 2003/11/05 05:00 [medline] PHST- 2003/10/01 05:00 [entrez] PST - ppublish SO - Nihon Arukoru Yakubutsu Igakkai Zasshi. 2003 Aug;38(4):321-34.