Observation on hemodynamic changes of the portosystemic collaterals before and after endoscopic treatment in patients with gastroesophageal varices / 中华消化杂志
Chinese Journal of Digestion
;
(12): 369-373, 2010.
Artículo
en Chino
| WPRIM
| ID: wpr-383678
ABSTRACT
Objective To investigate the hemodynamic changes of protosystemic collaterals before and after endoscopic treatment in patients with gastroesophageal varices using 64-row multidetector computed tomograghy portal venography (MDCTPV) so as to evaluate the efficacy of endoscopic treatment in patients with or without para-esoghageal varices and with or without nonvarices portosystemic collaterals before treatment. Methods Twenty-six patients with gastroesophageal varices, who underwent endoscopic variceal ligation (EVL) for esophageal varices and endoscopic N-butyl-2-cyanoacrylate injection (EBC) for gastric varices between Jan.2007 and Dec. 2009, were enrolled. Sixty four-row MDCT was used to examine the changes of portosystemic collaterals 1 week before and 12 months after endoscopic treatment. The reconstructed images of portosystemic collaterals before and after endoscopic treatment were evaluated. Results Excellent quality of portosystemic collateral vessels on CTPV were obtained in all patients. The mean diameter of left gastric vein decreased from (6.7±1.9) mm to (5.0±1.9) mm after endoscopic treatment,with significant difference (P< 0.05). There was no significant difference in outcomes between patients with or without para-esoghageal varices (80% vs 72.7%, P>0.05) and patients with or without non-varices portosystemic collaterals (82.4% vs 66.7% ,P>0.05). Conclusions Sixty fourrow MDCTPV may provide important information for option of endoscopic treatment and prognosis.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Idioma:
Chino
Revista:
Chinese Journal of Digestion
Año:
2010
Tipo del documento:
Artículo
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