Comparison of characteristics of esophageal gastric varices in portal hypertension patients with and without spontaneous shunts / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
;
(6): 75-80, 2016.
Article
in Chinese
| WPRIM
| ID: wpr-239619
ABSTRACT
<p><b>OBJECTIVE</b>To compare the characteristics of esophageal gastric varices in portal hypertension patients with and without spontaneous shunts.</p><p><b>METHODS</b>Clinical data of 118 patients with esophageal gastric varices undergoing portal vein computed tomographic angiography (CTA) and gastroscopy between January 2012 and August 2015 was retrospectively reviewed.</p><p><b>RESULTS</b>Portal vein CTA results showed that spleno-renal or gastro-renal shunts were detected in 24 out of 118 cases. The average portal vein diameters (PVD) of patients with and without spontaneous shunt were (12.48±2.79) mm and (13.58±3.46) mm, respectively (P>0.05). The average area of gastric veins in patients with spontaneous shunt was significantly larger than that of patients without shunt [294.00 (0.00~2400.00) mm2 vs. 26.00 (0.00~1620.00) mm2, respectively, (P<0.001]. Compared with patients without spontaneous shunt, the location of esophageal varices was lower and the degree was less serious in patients with spontaneous shunt (P<0.05). No matter with history of uppergastrointestinal bleeding, the average area of gastric veins in patients with spontaneous shunt was significantly larger than that of patients without shunt (P<0.05). For patients having no history of splenectomy, the average portal vein diameter (PVD) in those with spontaneous shunt was significantly smaller than that in those without shunt (P<0.05).</p><p><b>CONCLUSION</b>The portal vein diameter of patients without splenectomy and with spontaneous shunts is shorter and their esophageal varices are less serious; the gastric veins are large and wriggly in patients with spontaneous shunts.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Portal Vein
/
Spleen
/
Angiography
/
Esophageal and Gastric Varices
/
Tomography, X-Ray Computed
/
Retrospective Studies
/
Gastroscopy
/
Hypertension, Portal
Type of study:
Observational study
Limits:
Humans
Language:
Chinese
Journal:
Journal of Zhejiang University. Medical sciences
Year:
2016
Type:
Article
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