Evaluation of the congestion index and other portal vein haemodynamic parameters in portal hypertensive gastropathy

ABSTRACT

This study was conducted aiming to evaluate the congestion index and other portal vein hemodynamic parameters using Echo-Doppler in portal hypertensive gastropathy patients. 40 patients with liver cirrhosis [20 with esophageal varices and 20 with portal hypertensive gastropathies, 12 mile and 8 severe] in addition to 20 healthy persons as a control subjected to Echo-Doppler study using Hitachi 415 with pulsed transducer 3.5 Mhz. The findings showed that here was a significant increase in the congestion index of the portal vein in cases of portal hypertensive gastropathy than in cases with esophageal varices only. Also, there was a significnat increase in the congestion index in severe gastropathy than mild gastropathy. So, it can be concluded that the congestion index paralleled the severity of portal hypertensive gastropathy and can be used as a simple and safe parameter in following up these patients and to assess the efficacy of therapy