Abstract:
Objective To compare the long-term effect of arterio-portal shunt(APS) and flow-restricted APS on hepatic microcirculation,structure and function of rats.
Methods APS and flow-restricted APS models of rats were established to observe changes in hepatic microcirculation,structure and function of rats for 6 months.
Results The laser Doppler flow(LDF) was greater in APS group than in flow-restricted APS group(1.389±0.125 PU vs 1.203±0.135 PU,P<0.05).No significant difference was observed in serum TP,ALB,ALT and AST levels between the two groups(P>0.05).However,the serum ALP level was significantly higher in APS group than in flow-restricted APS group(P<0.05).The walls of portal vein and its branches were wider and thicker with their intimal collagen fibrosis increased.No obvious changes were found after flow-restricted APS.
Conclusion It is necessary to restrict the blood flow in arteries after APS in order to prevent liver function and structure impairments caused by over blood flow.