The hepato-pulmonary syndrome--where do we stand in the year 2006?

Gschossmann, J M; Essig, M; Reichen, J; Scheurer, U; Gerken, G (2006). The hepato-pulmonary syndrome--where do we stand in the year 2006? Zeitschrift für Gastroenterologie, 44(3), pp. 249-56. Stuttgart: Thieme 10.1055/s-2005-858995

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The hepato-pulmonary syndrome (HPS) is characterized by a combination of liver disease and pulmonary gas exchange abnormalities with arterial hypoxemia, intrapulmonary vasodilatation and arteriovenous shunting in the absence of intrinsic cardiopulmonary disease. The course of the disease is typically progressive. The mortality rate correlates with the pulmonary shunt volume and the degree of hypoxemia at room air. While the patho-physiology of HPS is still not fully understood, a multifactorial etiology is favored. Apart from functional intrapulmonary arteriovenous shunts which appear to represent a major factor in the development of HPS, both ventilation-perfusion mismatch and limited oxygen diffusion contribute to the HPS. Regarding its clinical appearance, pulmonary and hepatic symptoms have to be distinguished. Contrast echocardiography is the primary diagnostic tool. Symptomatically, hypoxemia can be treated with oxygen. So far, the only successful treatment approach which has been tested in larger patient groups, is liver transplantation. Given this background, the aim of this review is to critically discuss current concepts of this serious complication of liver diseases.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Gastroenterology
04 Faculty of Medicine > Service Sector > Institute of Clinical Pharmacology and Visceral Research (discontinued)

UniBE Contributor:

Essig, Manfred; Reichen, Jürg and Scheurer, Ulrich

ISSN:

0044-2771

ISBN:

16514571

Publisher:

Thieme

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:45

Last Modified:

17 Mar 2015 21:43

Publisher DOI:

10.1055/s-2005-858995

PubMed ID:

16514571

Web of Science ID:

000236678000005

URI:

https://boris.unibe.ch/id/eprint/18559 (FactScience: 751)

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