NDLI: Diagnostic Value of Doppler Ultrasonography in Non-invasive Diagnosis of Chronic Liver Disease and Portal Hypertension

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Diagnostic Value of Doppler Ultrasonography in Non-invasive Diagnosis of Chronic Liver Disease and Portal Hypertension

Content Provider	Directory of Open Access Journals (DOAJ)
Author	Manik Mahajan Poonam Sharma Puneet Gupta Rattan Paul Rajesh Sharma Manjit Arora
Abstract	Introduction: A number of disorders can affect the hepatic parenchyma, leading to chronic liver disease (CLD). CLD and cirrhosis are a significant cause of morbidity and mortality in developing nations and ultimately lead to the development of portal hypertension (PHT). Aim: To assess the portal and hepatic vein hemodynamics in patients of CLD and PHT using Doppler ultrasonography (USG). Materials and Methods: This prospective study was carried out in 50 biopsy and/or biochemically proven cases of CLD. Doppler USG was performed and flow hemodynamics in hepatic veins and portal vein was assessed. Results: Portal vein diameter >13mm was seen in 22.2% cases of CLD without PHT whereas, PV diameter >13mm was seen in 56.2% cases with PHT. Also dilatation of the splenic vein (> 10mm) was observed in 46.9% patients of CLD with PHT. Reduced mean peak portal vein velocity (PVV) was observed in patients with CLD (14.2cm/sec) and CLD with PHT (12.3cm/sec). Altered hepatic vein morphology was seen in 74% cases of CLD. Conclusion: Doppler USG evaluation of hepatic and portal vein hemodynamics is a very useful tool in the non-invasive diagnosis of CLD and can be reliably used to distinguish patients of CLD with and without PHT.
Related Links	http://www.ijars.net/articles/PDF/2198/21653_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf
ISSN	22778543
e-ISSN	24556874
DOI	10.7860/IJARS/2016/21653:2198
Journal	International Journal of Anatomy Radiology and Surgery
Issue Number	4
Volume Number	5
Language	English
Publisher	JCDR Research and Publications Pvt. Ltd.
Publisher Date	2016-01-01
Publisher Place	India
Access Restriction	Open
Subject Keyword	Medical physics. Medical radiology. Nuclear medicine Surgery Cirrhosis Endoscopy Hepatic Vein Portal Vein
Content Type	Text
Resource Type	Article

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