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Values of endoscopy and computed tomographic angiography for portal vein in diagnosis of portal hypertension
| Content Provider | Semantic Scholar |
|---|---|
| Author | Chen, Li-Na Qu, Qing Wang, Lei Shen, R. Cheng, S. Jin, Yong Wu, Yun-Lin |
| Copyright Year | 2006 |
| Abstract | AIM: To evaluate the c l inical eff icacy of e n d o s c o p y a n d c o m p u t e d t o m o g r a p h i c angiography for portal vein (PV-CTA) in the diagnosis of esophageal-gastric varices caused by portal hypertension. METHODS: A total of 60 patients with suspected portal hypertension were enrolled in this study. All the patients were examined by endoscopy and PV-CTA, and the data were comparatively analyzed. RESULTS: Esophageal varices diagnosed by PV-CTA covered a percentage of 70.0% (n = 42), while those diagnosed by endoscopy accounted for 75.0% (n = 45); the coincidence rate was 70.8%. However, for gastric varices, the diagnostic rate of PV-CTA was 86.7% (n = 52 cases), while that of endosopy was 50.0% (n = 30); the coincidence rate was 26.7%. The etiology of all 60 cases was defined: 42 cases were with posthepatitis cirrhosis, 7 cases with schistosomal cirrhosis, 3 cases with alcoholic cirrhosis, 7 cases with pancreatic portal hypertension, and 1 case with portal foamy denaturation. CONCLUSION: PV-CTA is efficient in the diagnosis of esophageal-gastric varices, not only for varices in submucosa, muscular layer, serosa, or extraserosa, but also varices caused by non-cirrhosis. Patients with suspected portal hypertension are suggested to be evaluated for portal tension and causes by combination of PV-CTA and endoscopy. |
| Starting Page | 3421 |
| Ending Page | 3421 |
| Page Count | 1 |
| File Format | PDF HTM / HTML |
| DOI | 10.11569/wcjd.v14.i35.3421 |
| Volume Number | 14 |
| Alternate Webpage(s) | https://f6publishing.blob.core.windows.net/2b3aed37-a18b-4263-afd9-583e062f3033/WCJD-14-3421.pdf |
| Alternate Webpage(s) | https://doi.org/10.11569/wcjd.v14.i35.3421 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
