Quantitative Doppler evaluation of the splenoportal venous system in various stages of cirrhosis

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dc.authoridKutlu, Ramazan/0000-0001-7941-7025
dc.authoridKutlu, Ramazan/0000-0001-7941-7025
dc.authoridSigirci, Ahmet/0000-0001-9221-0002
dc.authorwosidKutlu, Ramazan/B-1624-2016
dc.authorwosidSaraç, Kaya/ABI-1091-2020
dc.authorwosidSeckin, Yuksel/ABI-3468-2020
dc.authorwosidKutlu, Ramazan/AAE-5219-2020
dc.authorwosidSigirci, Ahmet/ABG-7387-2020
dc.contributor.authorKutlu, R
dc.contributor.authorKaraman, I
dc.contributor.authorAkbulut, A
dc.contributor.authorBaysal, T
dc.contributor.authorSigirci, A
dc.contributor.authorAlkan, A
dc.contributor.authorAladag, M
dc.date.accessioned2024-08-04T20:13:10Z
dc.date.available2024-08-04T20:13:10Z
dc.date.issued2002
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose. The purpose of our study was to evaluate the relationship between the splenoportal hemodynamics in patients with cirrhosis and the stage of the disease. Methods. Patients with cirrhosis were grouped according to modified Child-Pugh scoring into stages A, B, and C of cirrhosis. A control group of healthy volunteers was included. After gastroenterologic clinical and laboratory examinations, all participants underwent a splenoportal Doppler sonographic evaluation in which the vessels' diameter, area, and blood flow velocity were measured and blood flow rate and the congestion index in the splenoportal venous system were calculated. Results. Seventy-five patients with cirrhosis (25 women and 50 men) were enrolled; the control group consisted of 30 healthy volunteers (15 women and 15 men) with no liver disease. The mean age (+/- standard deviation) of the patients was 54.4 +/- 14.8 years (range, 13-80 years) and of the control subjects was 47.3 +/- 14.5 years (range, 18-72 years). No significant differences in vessel diameter, blood flow velocity, and blood flow rate were found in the main and left portal veins between the study group and the control group. In the right portal vein, we found decreases in the vessel diameter, blood flow velocity, and blood flow rate, and in the splenic vein, we found increases in vessel diameter and blood flow rate. The congestion index was increased in the main portal and splenic veins but was unchanged in the left portal vein. Conclusions. Although our data indicate that there is no difference in Doppler sonographic parameters of the main portal vein according to Child-Pugh scores, the hemodynamic differences between the left and right branches of the portal vein may be clinically useful in patients with cirrhosis. (C) 2002 Wiley Periodicals, Inc.en_US
dc.identifier.doi10.1002/jcu.10114
dc.identifier.endpage543en_US
dc.identifier.issn0091-2751
dc.identifier.issue9en_US
dc.identifier.pmid12404519en_US
dc.identifier.scopus2-s2.0-0036828305en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage537en_US
dc.identifier.urihttps://doi.org/10.1002/jcu.10114
dc.identifier.urihttps://hdl.handle.net/11616/93446
dc.identifier.volume30en_US
dc.identifier.wosWOS:000178875500004en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherJohn Wiley & Sons Incen_US
dc.relation.ispartofJournal of Clinical Ultrasounden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDoppler ultrasonographyen_US
dc.subjectcirrhosisen_US
dc.subjecthemodynamicsen_US
dc.subjectportal veinen_US
dc.subjectsplenic veinen_US
dc.titleQuantitative Doppler evaluation of the splenoportal venous system in various stages of cirrhosisen_US
dc.typeArticleen_US

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