Splenohepatic and gastroduodenal steal syndrome in liver transplant recipients

R. Langer, M. Langer, P. Neuhaus, A. Schlolz, R. Neuhaus, R. Felix

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


The study describes a syndrome, the splenohepatic and gastroduodenal steal syndrome, demonstrable by angiography in 18 patients before and after liver transplantation. Following the initial observation of a splenohepatic steal syndrome in a patient with unexplained elevation of hepatic enzymes after liver transplantation a prospective angiography study was performed which included all liver transplant recipients and patients after liver transplantation with unexplained impaired liver function tests and a hypersplenism with thrombo- and leucocytopenia. Ten steal syndromes were demonstrated before and eight after hepatic transplantation. The therapeutic modalities, including splenic artery embolization with secondary splenectomy and splenectomy without prior embolization, resulting in a normalisation of the liver function tests, are discussed.

Original languageEnglish
Pages (from-to)111-116
Number of pages6
JournalEuropean Radiology
Issue number2
Publication statusPublished - Apr 1992
Externally publishedYes


  • Hypersplenism
  • Liver Transplantation
  • Splenic artery embolization
  • Splenohepatic/gastroduodenal steal syndrome

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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