Doppler ultrasonogragshic evaluation of portal circulation in patients of portal hypertension treated by splenectomy, devascularization and oesophageal transection
Al-Azhar Medical Journal. 2006; 35 (4): 525-534
em En
| IMEMR
| ID: emr-75636
Biblioteca responsável:
EMRO
ABSTRACT
The portal hypertension with bleeding oesophageal varicose is a major medical problem in Egypt, the risk of death from 10% to 40% in these patients due to massive secondary heamorrhage. Splenectomy, Devascularization and Oesophageal Transection is one of the most important lines was used to treatment of bleeding oesophageal varices in patients suffering from portal hypertension particularly after failure of upper gastrointestinal tract endoscopy. The doppler Ultrasonography is simple,non invasive investigation to determine the blood vessels diameter, direction of blood flow, blood volume and degree of vascular congestion. The portal circulation evaluated pre and post operative by doppler Ultrasonography in 50 patients [41 males and 9 females] suffering from portal hypertension and oesophageal varices [Child A or Child B] and treated by Splenectomy, Devascularization and Oesophageal Transection to determine the degree of correction of the hemodynamic state. The portal vein diameter decreased after the operation by 1.5 mm, cross sectional area by 0.42 cm while its flow velocity increased after the operation by 3.22 ' cm/sec Its flow volume increased after the operation by 49.2ml/min and its congestive index decreased after the operation by 0.07cm/sec.So the operation is effective in the treatment of portal hypertension and oesophageal varices as it improves liver blood flow and liver perfusion. It also eradicated oesophageal varices
Buscar no Google
Índice:
IMEMR
Assunto principal:
Sistema Porta
/
Esplenectomia
/
Velocidade do Fluxo Sanguíneo
/
Varizes Esofágicas e Gástricas
/
Ultrassonografia Doppler em Cores
/
Hemodinâmica
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Al-Azhar Med. J.
Ano de publicação:
2006