Sonographic Comparison of Congestive Index of Portal Vein with and Without Chronic Liver Parenchymal Disease
top of page
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

Screen Shot 2018-08-12 at 1.24.09 AM.png
Screen Shot 2018-08-12 at 1.24.02 AM.png
Screen Shot 2018-08-12 at 1.23.57 AM.png
Screen Shot 2018-08-12 at 1.23.52 AM.png
crossref
doi
open access

Published: 18 March 2019

Sonographic Comparison of Congestive Index of Portal Vein with and Without Chronic Liver Parenchymal Disease

Hafiz Ehtisham-Ul-Haq, Ahmad Salman Shami, Ayesha Noreen, M Adnan Malik, Zain-Ul-Hasan, Raham Bacha, Muhammad Ahmad Naeem, Tuseef Ahmed, Tahira Sibt-Ul-Hassan

The University of Lahore, Pakistan

journal of social and political sciences
pdf download

Download Full-Text Pdf

doi

10.31014/aior.1994.02.01.23

Abstract

Background Chronic liver disease is an oncogenic disease, and if not treated, it will most likely lead to hepatocellular carcinoma or death. In the past 30 years, major progress in the knowledge and management of liver disease has been observed. Cirrhosis and primary liver cancer represent the end-stage of chronic liver disease and thus are indicative of the burden of this disease. Objectives: To determine the sonographic comparison of the congestive index of portal vein with and without the chronic liver parenchymal disease. Methods: The study was carried out in Gilani Ultrasound Center Lahore, & Nishtar Hospital Multan, Pakistan, for the duration of Six months with two hundred patients (100 patients with chronic liver disease and 100 normal subjects) selected using non-probability convenient sampling technique. Results: Mean age of the patients was 40.78±0.40 vs. 40.42±0.46 years respectively in group A and B. There were [57(57%) vs. 40(40%)] male subjects in group I and II respectively, and [43(43%) vs. 60(60%)] female subjects in group I and II respectively. In our study, significantly increased congestion index was observed in Group I as compared to Group II (p=0.0000185). Conclusion: Congestion index was higher (almost doubled) in Chronic Liver Disease as compared to the control group.

References

  1. Arena U, Vizzutti F, Corti G, Ambu S, Stasi C, Bresci S, et al. (2008). Acute viral hepatitis increases liver stiffness values measured by transient elastography. Hepatology, 47(2), 380-4.

  2. Blachier M, Leleu H, Peck-Radosavljevic M, Valla D-C, Roudot-Thoraval F. (2013). The burden of liver disease in Europe: a review of available epidemiological data. Journal of Hepatology, 58, 593-608.

  3. Buonamico P, Sabbá C. (1991). Echo Doppler duplex scanner and color in the study of portal hypertension. J Clin Gastroenterol, 13, 342–7.

  4. Chakravarthy AJ, Thomas S, Mohanan K, Puthussery PV, Resmi S, Raini KP. (2017). Congestion Index of Portal Vein in the Evaluation of Liver Disease. JMSCR, 05, 22666-73.

  5. Haag K, Rössle M, Ochs A, Huber M, Siegerstetter V, Olschewski M, et al. (1999). Correlation of duplex sonography findings and portal pressure in 375 patients with portal hypertension. Am J Roentgenol, 172, 631–5.

  6. Iliopoulos P, Vlychou M, Margaritis V, Tsamis I, Tepetes K, Petsas T, et al. (2007). Gray and color Doppler ultrasonography in differentiation between chronic viral hepatitis and compensated early stage cirrhosis. J Gastrointestin Liver Dis, 16, 279–86.

  7. Iliopoulos P, Vlychou M, Karatza C, Yarmenitis SD, Repanti M, Tsamis I, et al. (2008). Ultrasonography in differentiation between chronic viral hepatitis and compensated early stage cirrhosis. World J Gastroenterol, 14, 2072–9.

  8. Kayacetin E, Efe D, Doğan C. (2016). Portal and splenic hemodynamics in cirrhotic patients: relationship between esophageal variceal bleeding and the severity of hepatic failure. J Gastroenterol, 39, 661–7.

  9. Lee CH, Choi JW, Kim KA, Seo TS, Lee JM, Park CM. (2006). Usefulness of standard deviation on the histogram of ultrasound as a quantitative value for hepatic parenchymal echo texture; preliminary study. Ultrasound in Medicine and Biology, 32, 1817-26.

  10. Maeda K, Utsu M, Kihaile PE. (1998). Quantification of sonographic echogenicity with grey-level histogram width: a clinical tissue characterization. Ultrasound in Medicine and Biology, 24(2), 225-34.

  11. Mahmoud HS, Mostafa EF, Mohammed MAW. (2016). Role of portal haemodynamic parameters in prediction of oesophageal varices in cirrhotic patients. Arab J Gastroenterol, 15(3–4), 130–4.

  12. Marinho RT, Giria J, Moura MC. (2007). Rising costs and hospital admissions for hepatocellular carcinoma in Portugal (1993-2005). World Journal of Gastroenterology, 13, 1522.

  13. McGlynn KA, London WT. (2005). Epidemiology and natural history of hepatocellular carcinoma. Best practice & research Clinical gastroenterology, 19(1), 3-23.

  14. Moriyasu F, Nishida O, Ban N, Nakamura T, Sakai M, Miyake T, et al.           (1986). Congestion index of the portal vein. Am J Roentgenol, 146, 735–9.

  15. Mortada HF El-Shabrawi, Maissa El-Raziky, Maha Sheiba, Hanaa M El-Karaksy, Mona El-Raziky, Fetouh Hassanin, et al. (2010). Value of duplex doppler ultrasonography in non-invasive assessment of children with chronic liver disease. World J Gastroenterol, 16, 6139-6144.

  16. Shepard CW, Finelli L, Alter MJ. (2005). Global epidemiology of hepatitis C virus infection. Lancet Infect Dis, 5, 558-67.

  17. Sherlock S, Dooley J. (2002). Assessment of liver function. Diseases of the Liver and Biliary System. 11th ed. Oxford: Blackwell Publishing, 19-35.

  18. Sporea I, Popescu A, Sirli R. (2008). Why, who and how should perform liver biopsy in chronic liver diseases. World Journal of Gastroenterology, 14, 3396.

  19. World Health Organization. (1998). Training in diagnostic ultrasound: essentials, principles, and standards: report of a WHO study group.

  20. Wu CC, Yeh YH, Hwang MH. (1994). Observation of hemodynamic change of portal venous flow in liver cirrhosis by Doppler ultrasound: the significance of PVH index. J Med Ultrasound, 2, 180–4.

  21. Yeh WC, Jeng YM, Li CH, Lee PH, Li PC. (2005). Liver steatosis classification using high-frequency ultrasound. Ultrasound in Medicine and Biology, 31(5), 599-605.

  22. Yin XY, Lu MD, Huang JF, Xie XY, Liang LJ. (2016). Color Doppler velocity profile assessment of portal hemodynamics in cirrhotic patients with portal hypertension: correlation with esophageal variceal bleeding. J Clin Ultrasound, 29(1), 7–13.

bottom of page