[Liver circulation based on rheohepatographic data in peritonitis]

Area of Science:

• Gastroenterology and Hepatology
• Surgical Infections

Background:

• Peritonitis, a severe abdominal inflammation, can arise from appendicitis or gallbladder issues.
• Understanding the impact of peritonitis on liver circulation is crucial for patient management.

Purpose of the Study:

• To investigate hepatic hemodynamics in patients with appendicular and bile peritonitis.
• To assess the duration and recovery of observed circulatory changes.

Main Methods:

• Rheohepatography was used to analyze liver blood flow.
• The study included 66 children with appendicular peritonitis and 18 adults with bile peritonitis.

Main Results:

• Patients exhibited significantly increased hepatic arteriolar tone.
• Venous blood outflow was notably slower, particularly in bile peritonitis cases.
• These hemodynamic alterations persisted until hospital discharge.

Conclusions:

• Appendicular and bile peritonitis cause lasting changes in liver hemodynamics.
• Patients require continued, targeted treatment in outpatient settings post-discharge.
• Rheohepatography can identify these critical circulatory disturbances.