Duplex ultrasonography in evaluation of complications of portal hypertension in liver cirrhosis
Закрыть
Conţinutul numărului revistei
Articolul precedent
Articolul urmator
916 10
Ultima descărcare din IBN:
2023-04-17 17:13
Căutarea după subiecte
similare conform CZU
616.149-008.33:616.36-004-079.4-072.7 (1)
Патология сердечно-сосудистой системы. Сердечно-сосудистые заболевания (1013)
Заболевания пищеварительной системы. Болезнь пищеварительного тракта (1776)
SM ISO690:2012
ŢÂMBALĂ, Carolina, SPINEI, Larisa. Duplex ultrasonography in evaluation of complications of portal hypertension in liver cirrhosis. In: Curierul Medical, 2015, nr. 5(58), pp. 15-19. ISSN 1875-0666.
EXPORT metadate:
Google Scholar
Crossref
CERIF

DataCite
Dublin Core
Curierul Medical
Numărul 5(58) / 2015 / ISSN 1875-0666

Duplex ultrasonography in evaluation of complications of portal hypertension in liver cirrhosis
CZU: 616.149-008.33:616.36-004-079.4-072.7

Pag. 15-19

Ţâmbală Carolina, Spinei Larisa
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 29 decembrie 2015


Rezumat

Background: Portal hypertension is a serious complication in liver cirrhosis and it is responsible for most of the deaths at patients with the respective disease. Determination of the pressure gradient by the catheterisation of hepatic veins is a laborious method and often associated with complications. There are necessary accessible methods to evaluate portal hypertension with an acceptable degree of confidence. This study aims to determine Doppler hemodynamic indicators with important predictable goal in case of complications of the portal hypertension associated with liver cirrhosis. Material and methods: The study group included 111 patients diagnosed clinicaly, biologicaly and imagining with liver cirrhosis. The cytolytic, cholestatic, hepatoprive syndromes and the gravity of hypersplenism were evaluated. Esophageal varices were identified by upper endoscopy. The hepatic morphology, including the personalisation of the vascular tree, was evaluated by conventional and duplex ultrasonography. Results: The increase of the vascular resistance at the level of lienal artery (r = 0.454), and the Splenoportal Index had an important correlation with the severity of the Splenomegalic Syndrome (r = 0.516). The prediction of the esophageal varices with high risk for haemorrhage was set at the value of 7-10 cm/sec of the time-weighted average velocity measured in the hepatic portal vein (RP 3.13). Ascites and portal thrombosis were more frequent at an index of the portal hypertension of (IHTP) >2.1 (RP 3.5). Conclusions: Evaluation of the hemodynamic indicators by duplex ultrasonography allowed to highlight the predictive parameters in case of complications of the portal hypertension associated with liver cirrhosis

Cuvinte-cheie
liver cirrhosis, esophageal varices,

hemodynamic indicators, duplex ultrasonography.