PMID- 31599233
OWN - NLM
STAT- MEDLINE
DCOM- 20191108
LR  - 20191108
IS  - 2408-8757 (Electronic)
IS  - 1022-4742 (Linking)
VI  - 28
IP  - 4
DP  - 2019 Oct
TI  - Relation of Hepatic Venous Doppler Sonography and Portal Flowmetry in 
      Determination of Severity of Esophageal Varices in Liver Cirrhosis.
PG  - 727-733
AB  - Cirrhotic patients have hepatic vein waveform abnormalities (HVWA). Both Doppler 
      ultrasonography of hepatic venous wave form (HVWF) and portal Doppler flowmetry 
      (PDF) can non invasively recognize hepatic vein wave form abnormalities and 
      determine severity of esophageal varices. Here we applied cross sectional study 
      and found out the relation between HVWF and PDF and duration of the study from 
      July 2016 to June 2017 in a tertiary Medical College Hospital, Bangladesh. 49 
      purposively taken diagnosed, hospital admitted, cirrhotic patients were included. 
      Face to face interview and reviewing of records were the source of data and it 
      was analyzed by SPSS windows version-12 software programs. At first, local 
      ethical committee approved the study protocol, p<0.05 was statistically 
      significant and 95% was confidence interval. Esophagogastroduodenoscopy is the 
      gold standard for the diagnosis of esophageal varices. Alternative diagnostic 
      investigations would be either HVWF or PDF. HVWF were normal triphasic. Abnormal 
      biphasic and monophasic PDF consisted of the maximum values of portal flow 
      velocity, portal vein flow volume, diameter of the portal vein, and congestion 
      index. Small and large varices were the easiest form of endoscopic grading of 
      esophageal varices. No clinical or echocardiographic feature of right sided heart 
      failure had found in any patient. Both HVWF and PDF can certainly demonstrate the 
      presence of varices but only HVWF detected severity of esophageal varices - 
      monophasic wave (60.47%) in Doppler USG which signified (<0.05) large varices 
      (67.44%) in endoscopy and in biphasic wave (31.53%) in Doppler USG which 
      signified small varices (32.66%) in endoscopy. Patients who developed varices had 
      portal vein diameter (PVD) and congestion index (CI) were higher (p<0.02) and 
      portal vein velocity (PVV) was lower (p<0.05) than whom did not develop varices, 
      but severity of varices could not be detected. Portal vein flow volume (PVFV) did 
      not signify the presence or severity of varices. Moderately positive correlation 
      (correlation co-efficient was 0.0064) was found between Doppler USG of HVWF and 
      esophagogastroduodenoscopic in severity detection varices. In determination of 
      severity of esophageal varices in patients with liver cirrhosis Hepatic venous 
      Doppler sonography plays more vital role than PDF.
FAU - Sangma, M A
AU  - Sangma MA
AD  - Dr Mousumi Anuradha Sangma, Junior Consultant (Radiology & Imaging), Mymensingh 
      Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail: sumisangma 
      @hotmail.com.
FAU - Biswas, N
AU  - Biswas N
FAU - Paul, P
AU  - Paul P
LA  - eng
PT  - Journal Article
PL  - Bangladesh
TA  - Mymensingh Med J
JT  - Mymensingh medical journal : MMJ
JID - 9601799
SB  - IM
MH  - Bangladesh
MH  - Cross-Sectional Studies
MH  - Esophageal and Gastric Varices/*diagnostic imaging
MH  - Humans
MH  - *Liver Cirrhosis
MH  - Portal Vein
MH  - *Rheology
MH  - *Ultrasonography, Doppler
EDAT- 2019/10/11 06:00
MHDA- 2019/11/09 06:00
CRDT- 2019/10/11 06:00
PHST- 2019/10/11 06:00 [entrez]
PHST- 2019/10/11 06:00 [pubmed]
PHST- 2019/11/09 06:00 [medline]
PST - ppublish
SO  - Mymensingh Med J. 2019 Oct;28(4):727-733.