Study of Portal Vein Diameter and Spleen Size by Ultrasonography and Their Association with Gastro-esophageal Varices

Bhattarai, Subash; Gyawali, Merina; Dewan, KR; Shrestha, Gaurav; Patowary, BS; Sharma, Prakash

doi:10.3126/njr.v4i2.18482

Cited by 8 publications

(11 citation statements)

References 11 publications

(14 reference statements)

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“…Other international studies stated that the portal vein diameter was 10.8±1.14 mm which is close to the result of this study (11). The study did not mention any correlation with age, gender, weight, height or BMI.…”

Section: Discussionsupporting

confidence: 90%

“…Patient height and BMI are positively correlated with mean portal vein diameter (10). In Asia, a study done in Nepal was undertaken to establish the role of portal vein diameter and spleen size by ultrasonography in predicting gastro-esophageal varices revealed that portal vein diameter of patients without gastro-esophageal varices was smaller than in patients with varices (11). Table 1 summarizes the PVD in different populations.…”

Section: Introductionmentioning

confidence: 99%

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Sonographic Measurement and Sex Variability of Portal Vein Using US scan in a sample of Sudanese Adults

Mustafa¹,

Mustafa

Abdulkarim

et al. 2021

Preprint

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Background: Measurements of the normal portal venous dimension in a specified population is so crucial. portal vein can be measured by several methods for assessing different parameters, Computed topography (CT) and sonographic imaging are common examples. The diagnosis of portal hypertension depends on the transverse portal vein diameter (normal diameter from 6-15 mm). The aim of this study is to establish baseline value for the portal vein diameter and assess the correlation with age, gender, weight, height and BMI in Sudanese populations.Methodology: This was a descriptive cross-sectional study that included a sample of Sudanese adults who were requested to have routine abdominal sonographic scanning due to reasons not related to liver or portal vein problems. The study was carried out at the Radiology Department of Qatar Alnada Hospital, Umbadda, Khartoum, Sudan 2020.Results: In this study, 376 participants were included of which more than half were females (56.1%, n=211), while 165(43.9%) were males. The mean age of the participants was 38.12 + 15.57 years. The mean portal vein diameter was 10.79 + 1.27 millimeters. From this study the portal vein diameter varied with age (p value = 0.000), weight (p value = 0.002), height (p value = 0.000) and gender (p value = 0.000). It is not related to BMI (p value = 0.3).Conclusion: This study has revealed that the portal vein diameter has positive correlation with age, gender, height, and weight of the person and has no correlation with the BMI.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Sonographic Measurement and Sex Variability of Portal Vein Using US scan in a sample of Sudanese Adults

Mustafa¹,

Mustafa

Abdulkarim

et al. 2021

Preprint

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show abstract

“…Among 97 patients, 30 (30.9%) were in Child Turcotte Pugh class A, 30 (30.9%) in CTP class B and 37 (38.1 %) were in CTP class C. Small varices were found in 25 (8%) patients; 52% of patients had large varices with red color sign and 20.6% had large varices without red color sign [ 16 ]. In another study, the prevalence of esophageal varices was higher in CTP class C [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Detection and Management of Esophagogastric Varices

Shrestha

Thapa

Yadav

et al. 2021

Cureus

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IntroductionGastrointestinal (GI) varices are abnormally dilated submucosal veins in the digestive tract caused due to portal hypertension. Esophagus and stomach are common locations of varices induced by portal hypertension. Their presence correlates with the severity of the liver disease. Endoscopic variceal band ligation is one of the preferred methods for bleeding and nonbleeding large varices to decrease bleeding risk. Tissue adhesives such as N-butyl-2-cyanoacrylate have been used for gastric variceal obturation. MethodsThis descriptive study was conducted in the Department of Gastroenterology, National Academy of Medical Sciences, Kathmandu, Nepal, from March 2014 to January 2020. The endoscopic detection of esophageal and gastric varices was observed. Endoscopic variceal ligation (EVL) was done for esophageal varices and injection of N-butyl 2-cyanoacrylate for gastric varices. ResultsEsopahageal varices were detected in 1266 patients (8%) and gastric varices were in 36 patients (0.2%) among 15,657 patients undergoing upper gastrointestinal (UGI) endoscopy. Nine hundred seven (71.6%) were male. Large esophageal varices were endoscopically detected in 54.8% patients, small varices in 31.4% and both (large and small varices) in 13.4%. EVL was done in 30.7% and EVL with cyanoacrylate glue injection in 35 patients (2.7%). ConclusionEsophageal and gastric varices are seen commonly in patients with chronic liver disease. This study was conducted to describe the different types of GI varices in patients undergoing UGI endoscopy. Variceal band ligation for esophageal varices and glue injection for gastric varices are viable options of management.

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“…9 Whenever endoscopy cannot be performed due to any of these reasons certain non-invasive methods are recommended for detecting esophageal varices. 4,6,10 These alternate procedures include Doppler USG, CT, MRI and Angiography. 11 In addition to these Platelet count is also a noninvasive parameter with high accuracy for the prediction of esophageal varices as cirrhotic pts having esophageal varices usually have a platelet count of < 100,000/cmm.…”

Section: Guidelines Published By Baveno V1 Consensusmentioning

confidence: 99%

To determine the correlation between mean platelet count and frequency of grading of esophageal varices in patients of liver cirrhosis.

Javed¹,

Mohammad²,

Masood³

et al. 2021

TPMJ

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Objectives: To determine the correlation between mean platelet count and grading of esophageal varices in patients of liver cirrhosis. Study Design: Cross Sectional study. Settings: Department of Medicine, DHQ Hospital (FMU) &AFM&DC Faisalabad. Period: 17th August 2019 to 16th February 2020. Material & Methods: A total of 105 patients liver cirrhosis with esophageal varices were included in the study according to the inclusion and exclusion criteria. For assessment of platelet count 2ml blood sample was sent to hospital pathology laboratory and it was reported by the pathologist. Upper GI endoscopy was performed by gastroenterologist for confirmation and grading of oesophageal varices. Results: In our study, it was observed that 04 (3.81%) patients had grade- I EV, 34 (32.38%) Grade-II, 39 (37.14%) Grade III, 15 (14.29%) Grade IV and 13 (12.38%) patients had Grade V esophageal varices. While correlating the mean platelet count and grading of esophageal varices in patients of liver cirrhosis, it was observed that the mean platelet count of the patients with Grade-I EV was 149000± 26000, platelet count in patients with Grade-II EV was 122000 ± 26000, platelet count in patients with Grade-III EV was 100000 ± 23000, platelet count in patients with Grade-IV EV was 98000 ± 26000 and platelet count in patients with Grade-V EV was 94000 ± 22000 with correlation r value of 0.370 and p-value of 0.0001 which is statistically significant. Conclusion: This study concluded that there is inverse correlation between mean platelet count and grades of esophageal varices in patients of liver cirrhosis.

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Study of Portal Vein Diameter and Spleen Size by Ultrasonography and Their Association with Gastro-esophageal Varices

Cited by 8 publications

References 11 publications

Sonographic Measurement and Sex Variability of Portal Vein Using US scan in a sample of Sudanese Adults

Sonographic Measurement and Sex Variability of Portal Vein Using US scan in a sample of Sudanese Adults

Endoscopic Detection and Management of Esophagogastric Varices

To determine the correlation between mean platelet count and frequency of grading of esophageal varices in patients of liver cirrhosis.

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