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Mittal P, Gupta R, Mittal G, et al. Association between portal vein color Doppler findings and the severity of disease in cirrhotic patients with portal hypertension. Iran J Radiol. 2011;8(4):211-7doi: 10.5812/iranjradiol.4489.
Mittal, P., Gupta, R., Mittal, G., & Kalia, V. (2011). Association between portal vein color Doppler findings and the severity of disease in cirrhotic patients with portal hypertension. Iranian journal of radiology : a quarterly journal published by the Iranian Radiological Society, 8(4), 211-7. https://doi.org/10.5812/iranjradiol.4489
Mittal, Puneet, et al. "Association between portal vein color Doppler findings and the severity of disease in cirrhotic patients with portal hypertension." Iranian journal of radiology : a quarterly journal published by the Iranian Radiological Society vol. 8,4 (2011): 211-7. doi: https://doi.org/10.5812/iranjradiol.4489
Mittal P, Gupta R, Mittal G, Kalia V. Association between portal vein color Doppler findings and the severity of disease in cirrhotic patients with portal hypertension. Iran J Radiol. 2011 Dec;8(4):211-7. doi: 10.5812/iranjradiol.4489. Epub 2011 Dec 25. PMID: 23329943; PMCID: PMC3522358.
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Iran J Radiol. 2011 Dec;8(4):211-7. doi: 10.5812/iranjradiol.4489. Epub 2011 Dec 25.

Association between portal vein color Doppler findings and the severity of disease in cirrhotic patients with portal hypertension.

Iranian journal of radiology : a quarterly journal published by the Iranian Radiological Society

Puneet Mittal, Ranjana Gupta, Gaurav Mittal, Vishal Kalia

Affiliations

  1. Department of Radiodiagnosis, Punjab Institute of Medical Sciences, Jalandhar, India.

PMID: 23329943 PMCID: PMC3522358 DOI: 10.5812/iranjradiol.4489

Abstract

BACKGROUND: Doppler ultrasound is the accepted gold standard for assessing direction of flow in the portal vein (PV). Moreover, it is non-invasive; therefore, it is well accepted by the patients and does not interfere with flow hemodynamics.

OBJECTIVES: The present study was aimed to evaluate the association between color Doppler findings and the severity of portal hypertension in patients with cirrhosis.

PATIENTS AND METHODS: The study group included 50 patients referred for ultrasound (US) evaluation over a period of six months from March to August, 2007. The patients were divided into three groups (Child' A, B and C) based on Child Pugh classification. The direction of flow in the main portal vein (hepatopetal or nonhepatopetal) and peak venous velocity (PVV) in the main portal vein were measured and correlated with the presence or absence of ascites, splenomegaly, splenic and esophageal varices (assessed by Doppler US). These findings were correlated with clinical features and laboratory findings (using Child Pugh's criteria).

RESULTS: There was significant association between the decrease of peak portal venous velocity (PVV) and the increase in Child Pugh score. Hepatofugal flow was seen only in patients with more advanced disease. There was also significant association between PVV and splenic varices and ascites, while PVV was not affected by the presence or absence of esophageal varices or splenomegaly. Presence of a recanalized umbilical vein (UV) was associated with increased PVV even in advanced disease.

CONCLUSIONS: Color Doppler is an excellent modality for detecting and characterizing the complex hemodynamics of portal hypertension in cirrhosis and they correlate with the clinical stage of disease.

Keywords: Child; Hypertension, Portal; Liver Cirrhosis

References

  1. Hepatology. 1995 Dec;22(6):1689-94 - PubMed
  2. Ultraschall Med. 2000 Aug;21(4):165-9 - PubMed
  3. Bull World Health Organ. 1977;55(4):521-40 - PubMed
  4. Gastroenterology. 1991 Jan;100(1):160-7 - PubMed
  5. J Clin Ultrasound. 2000 Sep;28(7):332-9 - PubMed
  6. Br J Surg. 1973 Aug;60(8):646-9 - PubMed
  7. Dig Dis Sci. 1998 Feb;43(2):354-7 - PubMed
  8. Am J Gastroenterol. 1990 Sep;85(9):1160-4 - PubMed
  9. Radiology. 1985 Jun;155(3):757-61 - PubMed
  10. Radiographics. 2002 Jan-Feb;22(1):123-40 - PubMed
  11. Changgeng Yi Xue Za Zhi. 1995 Sep;18(3):217-23 - PubMed
  12. Dig Dis Sci. 2000 Sep;45(9):1861-4 - PubMed
  13. Hepatology. 1998 Oct;28(4):932-6 - PubMed
  14. World J Gastroenterol. 2005 Feb 7;11(5):708-11 - PubMed
  15. Indian J Gastroenterol. 2002 Sep-Oct;21(5):176-8 - PubMed
  16. Emerg Med Clin North Am. 2009 Aug;27(3):401-14 - PubMed

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