CHARACTERIZATION OF PORTAL HYPERTENSION IN GEZIRASTATE (SUDAN) USING ULTRASOUND
DOI:
https://doi.org/10.29121/granthaalayah.v7.i7.2019.711Keywords:
Portal Hypertension, B-Mode Ultrasound, Schistomiasis, PortalveinAbstract [English]
Peri-sinusoidal portal hypertension with frequent episodes of upper gastro intestinal variceal bleeding are hallmarks of hepatic-splenic schistosomiasis (Mansoni or Japonicum). This a prospective study compromise of 306 consecutive patients at North Gezira State between 2016 to 2019, aimed to characterize the portal hypertension &to minimize potentiallysevere and deadly complications. Using B-mode grayscale ultrasound, The images done by portable Sono- Scape- A6 machine using convex probe with frequency range from 3.5 to 5 MHz and the data analyzed by SPSS version 15.The result showed that the majority of patients were male and portal hypertension had high incidence associated with peri portal fibrosis(schistosomiasis), the result also showed that : out of 360 patients under study, there were 209(58.1%) had portal hypertension, 106(29.4%) had PPF, and 45(12.5%) were normal patients. The study concluded that the portable ultrasound machine is the most frequently used imaging modality to assess patients for the presence of portal hypertension especially in the endemic area.
Downloads
References
Hemodynamic Features of Doppler Ultrasonography in Patients With Portal Hypertension. Intraoperative Direct Measurement of Portal Pressure in the Portal Venous System Li Zhang, PhD, Yun-You Duan, PhD, Jin-Mao Li, MD, Ji-Kai Yin, PhD 2007 by the American Institute of Ultrasound in Medicine • J Ultrasound Med 2007; 26:1689–1696 • 0278-4297/07/$3.50. DOI: https://doi.org/10.7863/jum.2007.26.12.1689
Baik SK. Haemodynamic evaluation by Doppler ultrasonography in patients with portal hypertension: a review. Liver Int.2010;30:1403-1413Gaiani S, Bolondi L, Li Bassi S, ZironiG, Siringo S, Barbara L. DOI: https://doi.org/10.1111/j.1478-3231.2010.02326.x
Prevalence of spontaneous hepatofugal flow in livercirrhosis. Gastroenterology. 1991;100:160-7.ultrasound assessment of portal hypertension by richardallan, ams, head sonographer, flinders medical centre, sa.22 issue 1, 2006 DOI: https://doi.org/10.1016/0016-5085(91)90596-D
Kim MY, Jeong WK, Baik SK. Invasive and non-invasive diagnosisof cirrhosis and portal hypertension. World J Gastroenterol 2014;20:4300-4315. DOI: https://doi.org/10.3748/wjg.v20.i15.4300
Oberti F, Valsesia E, Pilette C, et al. Noninvasive diagnosis of hepatic fibrosis or cirrhosis. Gastroenterology 1997;113:1609-1616. DOI: https://doi.org/10.1053/gast.1997.v113.pm9352863
Maruyama H, Kondo T, Sekimoto T, Yokosuka O. Differential clinical impact of ascites in cirrhosis and idiopathic portal hypertension. Medicine (Baltimore) 2015;94:e1056. DOI: https://doi.org/10.1097/MD.0000000000001056
Genecin P, Groszmann RJ. The biology of portal hypertension. In: Arias IM, BoyerJL, Fausto N, Jakoby WB, Schachter DA, Shafritz DA, editors. The Liver: Biology and Pathobiology. New York: Raven press, Ltd.; 1994. p. 1327-1341.G.-D.
Burchard et al.1998 Ultrasound and chemical markers of hepatosplenicschistosomiasis.
Maruyama H, Shiha G, Yokosuka O, et al. Non-invasive assessment of portal hypertension and liver fibrosis using contrast enhanced ultrasonography. HepatolInt 2016;10:267-276. DOI: https://doi.org/10.1007/s12072-015-9670-9
Schmassmann A, Zuber M, Livers M, Jager K, Jenzer HR, Fehr HF. Recurrent bleeding after variceal hemorrhage: predictive value of portal venous duplex sonography. AJR Am J Roentgenol. 1993;160:41-7 DOI: https://doi.org/10.2214/ajr.160.1.8416643
Siringo S, Bolondi L, Gaiani S, Sofia S, Di Febo G, Zironi G, Rigamonti A, Miglioli M, Cavalli G, Barbara L. The relationship of endoscopy, portal Doppler ultrasound flowmetry, and clinical and biochemical tests in cirrhosis.JHepatol.1994;20:11-8 DOI: https://doi.org/10.1016/S0168-8278(05)80461-1
Sherlock S, Dooley J. Diseases of the liver and biliary system. Ninth ed. Oxford: Blackwell Scientific Publications; 1993.
Downloads
Published
How to Cite
Issue
Section
License
With the licence CC-BY, authors retain the copyright, allowing anyone to download, reuse, re-print, modify, distribute, and/or copy their contribution. The work must be properly attributed to its author.
It is not necessary to ask for further permission from the author or journal board.
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
