References

IJMABHR

International Journal of Medical and All Body Health Research

IJMABHR

2582-8940

Anfo Publication House

150

Study of Portal Vein Diameter and Spleen Sizeby Ultrasonography and their association with Gastro-oesophageal Varices

Choudhary

Ashish

Sylonia

Subhash C

Garga

Umesh C

Kuchay

Ishfaq Ayoub

1Student, Saraswati Institute of Medical Sciences Hapur, Uttar Pradesh, India 2Professor and HOD, Department of Radio Diagnosis, Saraswati Institute of Medical Sciences Hapur, Uttar Pradesh, India 3Professor in Radio Diagnosis, Saraswati Institute of Medical Sciences Hapur, Uttar Pradesh, India 4Senior Resident, Saraswati Institute of Medical Sciences Hapur, Uttar Pradesh, India

2022

3 4 61 63 12112022 03122022

CC BY-NC-SA 4.0

Aim and objectives: The present study was done to assess the correlation of portal vein diameter and spleen size with oesophageal varices in patients with cirrhosis of liver and to assess the ability of ultrasound to predict the presence of oesophageal varices. Materials and method: This was observational cross-sectional study done among patients admitted in the department of General medicine. All patients >18years presenting to General medicine department diagnosed with chronic liver disease based on clinical, biochemical and ultrasonographic findings. Results: A total of 50 adult patients of cirrhosis of liver were included in the study, out of which 40 (80.0%) were male and 10 (20.0%) were female of ages between 22-71 years, (mean 47.89±10.60 years).The mean Portal vein diameter and Spleen size were significantly more among subjects with varices.Ascites and splenomegaly was significantly more among subjects with varices compared to without varices. Conclusion: Ultrasonography has enormous potential for identifying instances of cirrhosis with portal hypertension, assessing varices, and managing patients over the long term. To quantify the severity of oesophageal varices and establish a threshold at which preventing oesophageal variceal bleeding is necessary, more research is required.

Cirrhosis of liverGastro-esophageal varicesPortal vein diameterSpleen sizeUltrasonography

References 1

Shanker R, Banerjee S, Anshul Ganguly S, Bansal S, Uppal A, et al. A Study of Association of Portal Vein Diameter and Splenic Size with Gastro-Oesophageal Varices in Liver Cirrhosis Patients. IOSR-JDMS. 2016; 15(9):125-9.

Dib N, Konate A, Oberti F, et al. Non-invasive diagnosis of portal hypertension in cirrhosis. Application to the primary prevention of varices. Gastroenterol Clin Biol. 2005; 29(10):975-87.

Mohanty R, Mohapatra N, Malla A, et al. Correlation of portal vein diameter and splenic size with oesophageal varices in cirrhosis of liver. J. Evolution Med. Dent. Sci. 2017; 6(82):5746-5749.

Sarangapani A, Shanmugam C, Kalyanasundaram M, Rangachari B, Thangavelu P, Subbarayan JK. Non-invasive prediction of large esophageal varices in chronic liver disease patients. Saudi J Gastroenterol. 2010; 16(1):38-42.

Rigo GP, Merighi A, Chalen JN, et al. A prospective study of the ability of three endoscopic classifications to predict hemorrhage from esophageal varices. Gastrointest Endosc. 1992; 38:425-9.

Jensen DM. Endoscopic screening for varices in cirrhosis: findings, implications and outcomes. Gastroenterology. 2002; 122:1620-30.

Sarwar S, Khan AA, Alam A, et al. Non-endoscopic prediction of presence of oesophageal varices in cirrhosis. J Coll Physicians. Surg Pak. 2005; 15(9):528-31.

Prihartini J, Lesmana LA, Manan C, Gani RA. Detection of esophageal varices in liver cirrhosis using non-invasive parameters. Acta Med Indones-Indones. 2005; 37(3):126-31.

Uppalapati S, Lokesh S. Correlation of portal vein diameter with the presence of oesophageal varices in chronic liver disease: a prospective study. Int J Adv Med. 2018; 5:859-64.

Plestina SR. Pulanie, M, Kralik, S. Plestina M. Samarzija, Colour doppler ultrasonography is reliable in assessing the risk of esophageal variceal bleeding in patients with liver cirrhosis. Wien Klin Wochenschr. 2005; 20:711-7.

Devrajani BR, Soomro AA, Attra KM, Qureshi GA. Variceal bleeding and its dependence on portal vein size in liver cirrhotic patients. Adv Med Dental Sci., 2009, 60-5.

Sharma SK, Aggarwal R. Prediction of large oesophageal varices in patients with cirrhosis of the liver using clinical, laboratory and imaging parameters. J Gastroenterol Hepatol. 2007; 22(11):1909-15.

Sarwar S, Khan AA, Alam A, Butt Ak, Shafaqat F, Malik K, et al. Non-endoscopic prediction of presence of oesophageal varices in cirrhosis. J Coll Physicians Surg Pak. 2005; 15(9):528-31.

Chalasani N, Imperiale TF, Ismail A, Sood G, Carey M, Wilcox M, et al. Predictors of large esophageal varices in patients with cirrhosis. Am J Gastroenterol. 1999; 94(11):3284-91.

Mandal L, Mandal SK, Bandyopadhyay D, Datta S. Correlation of portal vein diameter and splenic size with gastro-oesophageal varices in cirrhosis of liver. J Ind Aca Clin Med. 201; 12(4):266-70.

Schepis F, Cammà C, Niceforo D, Magnano A, Pallio S, Cinquegrani M, et al. Which patients with cirrhosis should undergo endoscopic screening for esophageal varices detection?. Hepatol. 2001; 33(2):333-8.

Lopamudra M, Sanjay KM, Dipanjan B, Saumik D. Correlation of portal vein diameter and splenic size with gastro-oesophageal varices in cirrhotic liver. J Indian Acad Clin Med. 2011; 12:266-70.

Usman AU, Ibinaiye P, Ahidjo A, Tahir A, Sa'ad ST, Mustapha Z, et al. Ultrasound Determination of Portal Vein Diameter in Adult Patients with Chronic Liver Disease in North-Eastern Nigeria. Sub-Saharan Afr J Med. 2015; 2:57-63.