Display options
Cite
Adithan S, Venkatesan B, Sundarajan E, et al. Color Doppler evaluation of left gastric vein hemodynamics in cirrhosis with portal hypertension and its correlation with esophageal varices and variceal bleed. Indian J Radiol Imaging. 2010;20(4):289-93doi: 10.4103/0971-3026.73541.
Adithan, S., Venkatesan, B., Sundarajan, E., Kate, V., & Kalayarasan, R. (2010). Color Doppler evaluation of left gastric vein hemodynamics in cirrhosis with portal hypertension and its correlation with esophageal varices and variceal bleed. The Indian journal of radiology & imaging, 20(4), 289-93. https://doi.org/10.4103/0971-3026.73541
Adithan, Subathra, et al. "Color Doppler evaluation of left gastric vein hemodynamics in cirrhosis with portal hypertension and its correlation with esophageal varices and variceal bleed." The Indian journal of radiology & imaging vol. 20,4 (2010): 289-93. doi: https://doi.org/10.4103/0971-3026.73541
Adithan S, Venkatesan B, Sundarajan E, Kate V, Kalayarasan R. Color Doppler evaluation of left gastric vein hemodynamics in cirrhosis with portal hypertension and its correlation with esophageal varices and variceal bleed. Indian J Radiol Imaging. 2010 Nov;20(4):289-93. doi: 10.4103/0971-3026.73541. PMID: 21423905; PMCID: PMC3056627.
Copy Download .nbib Format: NLM
Share it on

Indian J Radiol Imaging. 2010 Nov;20(4):289-93. doi: 10.4103/0971-3026.73541.

Color Doppler evaluation of left gastric vein hemodynamics in cirrhosis with portal hypertension and its correlation with esophageal varices and variceal bleed.

The Indian journal of radiology & imaging

Subathra Adithan, Bhuvaneswari Venkatesan, Elangovan Sundarajan, Vikram Kate, Raja Kalayarasan

Affiliations

  1. Department of Radiodiagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry - 605 006, India.

PMID: 21423905 PMCID: PMC3056627 DOI: 10.4103/0971-3026.73541

Abstract

AIM: The purpose of this study was to assess the value of Doppler evaluation of left gastric vein hemodynamics when monitoring portal hypertension patients, by correlating Doppler ultrasonography (USG) parameters with the severity of esophageal varices and occurrence of variceal bleeding.

METHODS: This study was carried out on 100 patients using Doppler USG and endoscopy. Forty-seven of these were patients with cirrhosis with portal hypertension, who had not had a recent variceal bleed (group 1) and 26 were patients with cirrhosis with portal hypertension, with a recent history of bleeding (group 2). The control group comprised of 27 subjects who did not have liver disease or varices on endoscopy (group 3). The hemodynamic parameters, namely the diameter of the left gastric vein and the direction and flow velocity in the vessel, were compared in these groups, with the grade of esophageal varices.

RESULTS: Hepatofugal flow velocity in the left gastric vein was higher in patients with large-sized varices compared to those patients with small-sized varices (P < 0.001). The left gastric vein hepatofugal flow velocity was higher in patients with a recent variceal bleed than in those patients without a history of a recent variceal bleed (P < 0.0149). Large-sized varices were more commonly found in patients with a history of a recent variceal bleed (P < 0.0124).

CONCLUSION: Left gastric vein hemodynamics were found to correlate with the severity of the varices and the occurrence of recent variceal bleed in patients with cirrhosis with portal hypertension. Evaluation of the left gastric vein portal dynamics could be helpful in monitoring the progress of the disease in these patients.

Keywords: Esophageal varices; grade of varices; hepatofugal flow velocity; left gastric vein

References

  1. Am J Gastroenterol. 1989 Aug;84(8):937-41 - PubMed
  2. Gastroenterology. 1991 Jan;100(1):160-7 - PubMed
  3. AJR Am J Roentgenol. 1994 Mar;162(3):637-41 - PubMed
  4. Zhonghua Yi Xue Za Zhi. 2009 Aug 25;89(32):2283-5 - PubMed
  5. World J Gastroenterol. 2005 Aug 7;11(29):4560-5 - PubMed
  6. AJR Am J Roentgenol. 1993 Jan;160(1):41-7 - PubMed
  7. Gastroenterology. 1993 Aug;105(2):513-8 - PubMed
  8. J Gastroenterol. 2007 Mar;42(3):219-24 - PubMed
  9. Gastrointest Endosc. 2002 Apr;55(4):512-7 - PubMed

Publication Types