Ultrasonog raphic Findings of Esophageal Varices
Journal of the Korean Radiological Society
;
: 937-939, 1999.
Article
in Korean
| WPRIM
| ID: wpr-41859
ABSTRACT
PURPOSE:
To demonstrate the clinical usefulness of ultrasonography for detecting esophageal varices. MATERIALS ANDMETHODS:
In 20 cases of esophaged varix, the authors analysed the transabdominal ultrasono-graphicfindings of the esophagogastric junction and compared mural thickness, the anteroposterior diameter of theesophagus, and the echogenic nature of the esophageal mucosal layer with those of 78 normal patients.RESULTS:
The anterior and posterior mural thickeness of normal esophagus was 2.2 +/-0.7 and 2.4 +/-0.8mm re-spectively, butfor variceal esophagus, the corresponding readings were 5.9 +/-1.3 and 5.2 +/-1.3mm respective-ly. Theanteroposterior diameter of normal esophagus was 7.9 +/-2.1mm and that of variceal esophagus was 1 4 . 0 +/-1.8mm.There was a stastically significant difference (p<0.01) in mural thickness and anteroposterior diameter of theesophagus between a normal and variceal patient with regard to change of echogenic nature at the esphagogastricjunction. Normal esophageal mucosa showed a thin and uniform echogenic line, but for variceal mucosa, theechogenic pattern was irregular, tortuous and thick.CONCLUSION:
The athors believe that transabdominal US ishelpful for detecting esophageal varices in patients with liver cirrhosis and UGI bleeding. Important clinicallyuseful sonographic findings in diagnosing e-sophageal varix are as follows 1) mural thickness more than 6mm; 2)anteroposterior diameter of the esopha-gus of more than 15mm; 3) irregular, tortuous and thickened echogenicmucosa.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reading
/
Varicose Veins
/
Esophageal and Gastric Varices
/
Ultrasonography
/
Esophagogastric Junction
/
Esophagus
/
Hemorrhage
/
Liver Cirrhosis
/
Mucous Membrane
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
1999
Type:
Article
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