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Laparoscopic and histologic findings in patients with the human immunodeficiency virus.
- Source :
-
Gastrointestinal endoscopy [Gastrointest Endosc] 1994 Mar-Apr; Vol. 40 (2 Pt 1), pp. 160-4. - Publication Year :
- 1994
-
Abstract
- Hepatic dysfunction frequently develops in patients infected with the human immunodeficiency virus (HIV). This retrospective study was undertaken to determine the laparoscopic and histologic findings in a group of HIV-seropositive patients with or without the acquired immune deficiency syndrome (AIDS). Fifty-four patients, 44 with AIDS and 10 HIV-positive, underwent laparoscopic examination and visually guided biopsies for the assessment of clinical or biochemical evidence of liver injury. Significant abnormalities were detected in 31/44 (70%) AIDS patients and 3/10 (30%) HIV-positive patients. Overall, specific laparoscopic findings were described in 25/54 (46%). The most common findings were peritoneal involvement, massive intra-abdominal adhesions, focal lesions of the liver or spleen, and diffuse nodularity of the liver; these were usually related to opportunistic infections or neoplasms such as non-Hodgkin's lymphomas and Kaposi's sarcoma. No procedure-related deaths occurred. Laparoscopy is a safe and accurate method to detect underlying disease in a selected population of HIV-seropositive patients.
- Subjects :
- AIDS-Related Opportunistic Infections epidemiology
Adult
Biopsy
Female
HIV Seropositivity
Humans
Laparoscopy
Liver Diseases epidemiology
Male
Peritoneal Diseases epidemiology
Retrospective Studies
Risk Factors
Splenic Diseases epidemiology
Tissue Adhesions diagnosis
Tissue Adhesions epidemiology
AIDS-Related Opportunistic Infections diagnosis
Acquired Immunodeficiency Syndrome complications
Liver pathology
Liver Diseases complications
Liver Diseases diagnosis
Peritoneal Diseases complications
Peritoneal Diseases diagnosis
Splenic Diseases complications
Splenic Diseases diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0016-5107
- Volume :
- 40
- Issue :
- 2 Pt 1
- Database :
- MEDLINE
- Journal :
- Gastrointestinal endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 8013814
- Full Text :
- https://doi.org/10.1016/s0016-5107(94)70159-8