Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

Application of color doppler ultrasound for diagnosis of liver cirrhosis gastroesophageal varices

Algirdas Edvardas Tamosiunas, Danute Speiciene, Algimantas Irnius, Teresa Semuchiniene, Jonas Valantinas, Edita Gaveliene

Med Sci Monit 1999; 5(5): MT966-969 :: ID: 503434

Abstract

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)

Add Comment 0 Comments

Editorial

01 March 2024 : Editorial  

Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and Transfusion-Dependent β-Thalassemia

Dinah V. Parums

DOI: 10.12659/MSM.944204

Med Sci Monit 2024; 30:e944204

0:00

In Press

15 Jan 2024 : Clinical Research  

Comparison of Modified Shock Index and Shock Index for Predicting Massive Transfusion in Women with Primary...

Med Sci Monit In Press; DOI: 10.12659/MSM.943286  

0:00

15 Jan 2024 : Database Analysis  

Bibliometric Analysis of Brain Stimulation Technologies in Sleep Disorders

Med Sci Monit In Press; DOI: 10.12659/MSM.942687  

15 Jan 2024 : Clinical Research  

Clinical Outcomes of Arthroscopic Surgery in Patients with Gluteal Muscle Contracture: Single-Institution R...

Med Sci Monit In Press; DOI: 10.12659/MSM.942945  

17 Jan 2024 : Laboratory Research  

Impact of Auxiliary Features on Retention of Short Dental Crowns: An In-Vitro Analysis of Box and Groove Pr...

Med Sci Monit In Press; DOI: 10.12659/MSM.943401  

Most Viewed Current Articles

16 May 2023 : Clinical Research  

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387

0:00

17 Jan 2024 : Review article  

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799

0:00

14 Dec 2022 : Clinical Research  

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990

0:00

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750