Ultrasound and Doppler examination capabilities in adult portal hypertension type definition

Authors

  • N. V. Tumanskaya
  • A. S. Tugushev
  • E. S. Barskaya
  • А. А. Fedusenko
  • E. G. Nordio

DOI:

https://doi.org/10.14739/2310-1237.2015.2.48623

Keywords:

Portal Hypertension, Thrombosis, Doppler Ultrasonography

Abstract

Early portal hypertension type diagnostics is an ultimate factor concerning kind and tactics of treatment.

Aim. To objectify ultrasound examination capabilities, portal hemodynamics were studied in 97 patients using impulse and color doppler.

Methods and results. It was ascertained that impulse and color doppler examination allows to visualize portal vein and its branches’ structural abnormalities, define subhepatic and intrahepatic types of portal hypertension, find thrombosis and characterize its stages. In cirrhosis patients with portal hypertension, homogenous doppler signal was received from the portal vessels lumen, while signs of intraluminar pathology were seen in the case of thrombosis of portal vein.

Conclusion. This means that ultrasound examination of portal vein and its branches with impulse and color doppler is informative, non invasive method, which helps to define stages of portal hypertension.  Doppler ultrasonography doesn’t have negative effect of ionizing radiation and can be used for the repeated research in the dynamics of disease.  

References

Mit`kov, V. V. (2000) Doppleрrografiya v diagnostike zabolevanij pecheni, zhelchnogo puzyrya, podzheludochnoj zhelezy i ikh sosudov. [Dopplerographiya in diagnostics of diseases of liver, gall-bladder, pancreas and their vessels] Moscow: VIDAR. [in Russian].

Bittencourt, P. L., Couto, C. A., & Ribeiro, D. D. (2009) Portal Vein Thrombosis and Budd-Chiari Syndrome. Clinics in Liver Disease, 13(1), 117–126. doi: 10.1016/j.cld.2008.10.002.

Boyer, Th. D., & Habib, Sh. (2014) Portal vein thrombosis in patients with cirrhosis. Clinical Liver Disease, 3(6), 111–113.

De Leve, L. D., Valla, D.-Ch., & Garcia-Tsao, G. (2009) Vascular disorders of the liver. Hepatology, 49(5), 1729–1764. doi: 10.1002/hep.22772.

Dhiman, R. K., Chawla, Y., Vasishta, R. K., Kakkar, N., Dilawari, J. B., Trehan, M. S., et al. (2002) Non-cirrhotic portal fibrosis (idiopathic portal hypertension): experience with 151 patients and a review of the literature. J. Gastroenterol. Hepatol, 17(1), 6–16. doi: 10.1046/j.1440-1746.2002.02596.x

Janssen, H. L. A., Wijnhoud, A., Haagsma, E. B., van Uum, S. H. M., van Nieuwkerk, C. M. J., Adang, R. P., et al. (2001) Extrahepatic portal vein thrombosis: aetiology and determinants of survival . Gut, 49, 720–724. doi: 10.1136/gut.49.5.720.

Orloff, M. J., Orloff, M. S., Girard, B., & Orloff, S. L. (2002) Bleeding esophagogastric varices from extrahepatic portal hypertension: 40 years’ experience with portal-systemic shunt. J. Am. Coll. Surg., 194(6), 717–728.

Sarin, S. K., & Agarwal, S. R. (2002). Extrahepatic portal vein obstruction. Semin Liver. Dis., 22(1), 43–58.

Sarin, S. K., & Kapoor, D. L. (2002) Non-cirrhotic portal fibrosis: current concepts and management. J. Gastroenterol. Hepatol., 17(5), 526–534. doi: 10.1046/j.1440-1746.2002.02764.x.

Sarin, S. K., Sollano, J. D., Chawla, Y. K., Amarapurkar, D., Hamid, S., Hashizume, M., et al. (2006) Consensus on Extra-hepatic Portal Vein Obstruction. Liver Int., 26(5), 512–519.

How to Cite

1.
Tumanskaya NV, Tugushev AS, Barskaya ES, Fedusenko АА, Nordio EG. Ultrasound and Doppler examination capabilities in adult portal hypertension type definition. Pathologia [Internet]. 2015Oct.8 [cited 2024Dec.24];(2). Available from: http://pat.zsmu.edu.ua/article/view/48623

Issue

Section

Original research