Role of Ultrasound Doppler in Evaluation of Portal Hypertension
Introduction: Ultrasound Doppler is an accurate non-invasive investigation of assessing the aetiology, severity and complications of portal hypertension. The various spectrum of findings, flow metric changes and portosystemic collaterals can be accurately studied using ultrasound Doppler. Aim:...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2018-01-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/article_fulltext.asp?issn=0973-709x&year=2018&month=January&volume=7&issue=1&page=RO05-RO10&id=2345 |
| Summary: | Introduction: Ultrasound Doppler is an accurate
non-invasive investigation of assessing the aetiology,
severity and complications of portal hypertension. The
various spectrum of findings, flow metric changes and
portosystemic collaterals can be accurately studied using
ultrasound Doppler.
Aim: To study the spectrum of ultrasound Doppler findings
in portal hypertension, its various aetiology, complications
and the flow metric changes in portal hypertension.
Materials and Methods: A total of 63 patients referred
to the Department of Radiodiagnosis, Mysore Medical
College and Research Institute with clinically suspected /
diagnosed portal hypertension, in a period from January
2013 to January 2014 were subjected for the study.
The patients were studied using color Doppler coupled
ultrasound machine. Collected data was analysed for
descriptive statistics using the software SPSS.
Results: The mean age of patients was 49.3 years. There
were 48 males and 15 females in this study. The most
common etiology for portal hypertension was cirrhosis
(76.2%). Splenomegaly was noted in 79.4% cases and
ascites in 87.3%. Portal vein was dilated in 67.2% cases.
Hepatopetal flow was noted in majority (77.8%) of the
cases. Loss of respiratory phasicity of portal vein was
noted in 87.9% cases. Decreased portal vein velocity was
noted in 38.1% cases. Collaterals were noted in 63% of
the cases, most common being the splenorenal collaterals
which were seen in 49.2% of cases.
Conclusion: Ultrasound Doppler is an accurate noninvasive investigation of assessing the aetiology,
severity and complications of portal hypertension. The
various spectrum of findings, flow metric changes and
portosystemic collaterals can be accurately studied using
ultrasound Doppler. |
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| ISSN: | 2277-8543 2455-6874 |