Hypothalamic-pituitary-gonadal function in men with liver cirrhosis before and after liver transplantation

Revista do Colégio Brasileiro de Cirurgiões

Bruno T. Zacharias¹  Julio C. U. Coelho¹  Mônica B. Parolin¹  Jorge E. F. Matias¹  Alexandre C. T. De Freitas¹  José Luiz De Godoy¹ 

关键词: Liver Transplantation;    Liver Cirrhosis;    Pituitary Gland;    Hypogonadism;    Transplante de Fígado;    Cirrose Hepática;    Hipófise;    Hipogonadismo;   

DOI  :  10.1590/0100-69912014006007

来源: SciELO

【 摘 要 】

Objective: To evaluate the influence of end-stage liver disease and orthotopic liver transplantation in the pituitary function and hormone metabolism before and after liver transplantation.Methods: In a prospective study, serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and prolactin (PRL) of 30 male patients with cirrhosis were determined two to four hours before and six months after liver transplantation. The results were compared according to the Model for End-stage Liver Disease (MELD).Results: male patients with liver cirrhosis have hypogonadism. FSH was normal, but inappropriately low due to androgen failure; E2 and PRL, on their turn, were high. After liver transplantation, FSH and LH levels increased (p < 0.05), whereas E2 and PRL normalized (p < 0.05). The MELD score did not influence changes in FSH, PRL and LH, however, the more severe the cirrhosis was, the more significant was the normalization of E2 (p = 0.01).Conclusion: Patients with cirrhosis and male hypogonadism have inappropriately normal levels of FSH and LH, associated with an increase in E2 and LRP. After liver transplantation, FSH and LH increased, while E2 and PRL returned to normal. Changes in E2 levels were most pronounced in patients with MELD > 18. The severity of cirrhosis had no influence on FSH, PRL and LH.

【 授权许可】

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