Med Sci Monit 1999; 5(5): MT966-969 :: ID: 503434
Purpose: The most accurate and widespread method for diagnosis of gastroesophageal (GE) varices nowadays is upper gastrointestinal endoscopy. The value of color Doppler ultrasonography (CDUS) in correlation with endoscopy has never been extensively studied for liver cirrhosis (LC) patients. Aim of the study was to determine value of CDUS detecting GE varices in different grades of those on upper gastrointestinal endoscopy.
Material and methods: During two years period 144 LC patients were examined with CDUS for presence of portal hypertension and portal-systemic collaterals (PC). Statements 'positive' when signs of GE varices were present or 'negative' when GE varices were not present were made by an experienced sonologist. PC feeding GE varices were subdivided into two groups. Group I - left gastric vein and esophageal varices, and group II - short gastric veins and gastric (fundal) varices. In all 144 patients the upper gastrointestinal endoscopy was performed and GE varices were graded into three classes: class F0 (absent) - 11 patients; class F1 (small) - 49 patients, class F2 (medium) 52 patients and class F3 (large) - 32 patients.
Results: In endoscopic class F0 there were no statements 'positive' and 11 statements 'negative'. In class F1 there were 32 'positive' and 17 'negative' statements - sensitivity 65%. In class F2 there were 45 'positive' and 7 'negative' statements - sensitivity 87%. In class F3 there were 30 'positive' and 2 'negative' statements - sensitivity 94%. Overall sensitivity was 80%.
Conclusions: CDUS showed excellent sensitivity for advanced size GE varices and good overall sensitivity of 80%. CDUS provided information about different tributaries of GE varices as left gastric vein and short gastric veins. However the sensitivity of CDUS in class F1 was low (65%) and upper gastrointestinal endoscopy was much more efficient.
Keywords: Color Doppler ultrasonography (CDUS), gastroesophageal (GE) varices, liver cirrhosis (LC), porto-systemic collaterals (PC)
01 July 2022 : EditorialEditorial: World Health Organization (WHO) Variants of Concern Lineages Under Monitoring (VOC-LUM) in Response to the Global Spread of Lineages and Sublineages of Omicron, or B.1.1.529, SARS-CoV-2
Med Sci Monit 2022; 28:e937676
27 June 2022 : Clinical ResearchShoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who...
Med Sci Monit In Press; DOI: 10.12659/MSM.937430
04 June 2022 : Clinical ResearchScreening for SARS-CoV-2 Infection in Students at the Medical University of Warsaw, Poland Between November...
Med Sci Monit 2022; 28:e936962
30 May 2022 : Clinical ResearchEffects of Wearing Face Masks on Exercise Capacity and Ventilatory Anaerobic Threshold in Healthy Subjects ...
Med Sci Monit 2022; 28:e936069
05 Jul 2022 : Clinical ResearchAttention-Deficit/Hyperactivity Disorder (ADHD) and Time Perception in Adults: Do Adults with Different ADH...
Med Sci Monit In Press; DOI: 10.12659/MSM.936849
01 Jul 2022 : Clinical ResearchDoes Early-Period Patient Dissatisfaction Turn Into Satisfaction Over Time After Total Knee Replacement?
Med Sci Monit In Press; DOI: 10.12659/MSM.936792
30 Jun 2022 : Laboratory ResearchBcl-2 19-kDa Interacting Protein 3 (BNIP3)-Mediated Mitophagy Attenuates Intermittent Hypoxia-Induced Human...
Med Sci Monit In Press; DOI: 10.12659/MSM.936760
Most Viewed Current Articles
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
08 Mar 2022 : Review articleA Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...
Med Sci Monit 2022; 28:e936292
13 Nov 2021 : Clinical ResearchAcceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...
Med Sci Monit 2021; 27:e932788