Document Detail

Portal vein parameters in Egyptian patients with spontaneous bacterial peritonitis.
MedLine Citation:
PMID:  21268541     Owner:  NLM     Status:  MEDLINE    
Spontaneous bacterial peritonitis (SBP) is a severe complication of cirrhosis and the role of portal hypertension in the development of SBP has been suggested. This study assessed the portal vein (PV) haemodynamic changes in patients with SBP. The study was conducted on 20 ascitic patients with SBP (GI), 20 ascitic patients without SBP (GII), 20 cirrhotic patients without ascites (GIII) and 20 healthy cross-matched controls (GIV). All groups were subjected to complete clinical assessment and routine laboratory investigations. Portal vein diameter, velocity and congestion index (CI) were assessed by Doppler ultrasound. The results showed no significant difference between SBP patients and ascitic patients without SBP as regard PV diameter, velocity or CI. Portal vein diameter was significantly wider in patients with SBP (14.9 +/- 2.08 mm) and cirrhotic ascites (14.15 +/- 2.3) than normal persons (10.55 +/- 2.24 mm) or cirrhotic compensated patients (13.15 +/- 1.6 mm). The mean velocity of PV was significantly lower in patients with SBP (10.4 +/- 2.11) and ascites (10.7 +/- 2.22) than normal persons (15.35 +/- 2.08) or cirrhotic compensated patients (14 +/- 2.6), with no significant difference between controls and cirrhotic compensated patients. The CI of PV was significantly higher in patients with SBP (0.1825 +/- 0.036) and ascites (0.1743 +/- 0.051) than controls (0.05 +/- 0.050) or cirrhotic compensated patients (0.0955 +/- 0.091). Cirrhotic compensated patients showed significantly wider PV (13.15 +/- 1.6) and higher congestion index (0.0955 +/- 0.091) than normal persons (10.55 +/- 2.24 and 0.05 +/- 0.050 respectively).
Mohamed A Allam; Mohamed Toulba Elmetwaly; Hamed Abdelhafiz Elwan; Diaa Mohamed Alteby; Gamal Mohamed Soliman; Atef Abu-Alfotuh
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Egyptian Society of Parasitology     Volume:  40     ISSN:  1110-0583     ISO Abbreviation:  J Egypt Soc Parasitol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-01-27     Completed Date:  2011-03-01     Revised Date:  2013-05-02    
Medline Journal Info:
Nlm Unique ID:  8102141     Medline TA:  J Egypt Soc Parasitol     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  745-50     Citation Subset:  IM    
Department of Tropical Medicine, Faculty of Medicine, Al-Azhar University, Nasr City, Cairo, Egypt.
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MeSH Terms
Ascites / complications*
Bacterial Infections / complications,  pathology*
Middle Aged
Peritonitis / complications,  microbiology*
Portal Vein / pathology*

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