GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
LAPAROSCOPIC FINDINGS OF NON-B CHRONIC HEPATITIS AND ITS PROGRESSION
Chitomi HASEBEChihiro SEKIYAYuji ISHIKAWAKazuyoshi OKUNOMinoru ONOHitoshi SATOHAtsushi TAKAHASHIYasuyuki YAZAKIMasayoshi NAMIKI
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1986 Volume 28 Issue 6 Pages 1202-1213

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Abstract

It sometimes has been reported that the reddish markings (RM) found in non-B chronic hepatitis (NBCH) were different from those in type B chronic hepatitis (BCH). We then studied the characteristic laparoscopic findings of N BCH and the relationship between those findings and the progression of hepatitis, comparing with BCH. RM seen in BCH were mainly diffuse periportal RM, while in N BCH we found localized multilobular RM mostly, which we designated as "atypical redness". The cases with RM tended to have severe activity of hepatitis and to progress rapidly in the both types of hepatitis. In BCH, the patterns of progression resembled each other, and they progressed to liver cirrhosis with the findings of patchy markings and the RM became irregular redness in the interstitium. In NBCH, however, patchy markings were rarely seen, and they presented various patterns of progression in which we found sulcus forma-tions, fine and irregular undurations, increasing white marking and so on. The variety of the liver surface seen in N BCH would be due to the various range and distribution of the liver cell damages. As the liver cell damages in NBCH occur in multiple sites but ununiformly, we considered them to be important findings for progression of NBCH.

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© Japan Gastroenterological Endoscopy Society
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