Document Detail


Ultrasonography in the diagnosis of portal hypertension: diminished response of portal vessels to respiration.
MedLine Citation:
PMID:  7053528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study assesses the usefulness of ultrasound in the diagnosis of portal hypertension due to hepatic cirrhosis. Seventy-nine patients with portal hypertension and 45 control subjects underwent ultrasonography. Two factors were measured: (a) the caliber of the portal vein and (b) the caliber variation of the splenic and superior mesenteric veins during respiration. A lack of normal caliber variation (an increase during inspiration and a decrease during expiration) in these vessels is put forward as an ultrasonographic sign of portal hypertension, and the pathophysiological and clinical significance of this finding are discussed. The sensitivity of ultrasound in detecting portal hypertension, based on the measurement of caliber variation, was 79.7%, and the specificity was 100%. In contrast, the sensitivity of the method, assessed on the basis of portal dilatation, was only 41.8%.
Authors:
L Bolondi; L Gandolfi; V Arienti; G C Caletti; E Corcioni; G Gasbarrini; G Labò
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  142     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1982 Jan 
Date Detail:
Created Date:  1982-02-22     Completed Date:  1982-02-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  167-72     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Humans
Hypertension, Portal / diagnosis*,  physiopathology
Mesenteric Veins / physiopathology
Portal Vein / physiopathology
Respiration
Splenic Vein / physiopathology
Ultrasonography*

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