Correlation of Portal Vein Diameter and Splenic Size With Oesophageal Varices in Cirrhosis of Liver

Mohanty, R. K.; Mohapatra, Namita; Malla, Ashish; Naik, Jitendra; Mohanty, Bijendra; Meher, Meghanad; Swaroop, Sai; Thatoi, Pravat Kumar

doi:10.14260/jemds/2017/1246

Cited by 5 publications

(10 citation statements)

References 12 publications

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“…In contrast to Mohanty et al [16] who found a definite correlation between the increase in splenic size and portal vein diameter with the severity of EVs, our results showed no significant differences between patients with mild or moderate EVs and those with severe EVs regarding spleen diameter as well as portal vein diameter.…”

Section: Figurescontrasting

confidence: 99%

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Assessment of Different Non-Invasive Score Modalities in Prediction of Esophageal Varices in Patients With Liver Cirrhosis

Ahmed¹,

Mohammed²,

Alaa³

et al. 2019

Zagazig University Medical Journal

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Background: Varices are a serious consequence of portal hypertension, and variceal bleeding is a life-threatening complication occurring in up to 30% of patients with cirrhosis. Despite the great improvement in diagnosis and the available therapeutic modalities, mortality from acute variceal bleeding may still reach up to 20%. Therefore, our aim was to assess the role of noninvasive score modalities in the prediction of the presence of EVs & to predict EVs severity. Methods: This Comparative cross-sectional study was conducted on a cohort of 90 cirrhotic patients. All patients were subjected to investigations include complete blood count, liver and kidney function tests, bleeding profile, random blood sugar, and serum sodium. The following scores were estimated: Child-Pugh score, MELD -Na + score, AAR, APRI, FIB-4, and King's score. Upper GI endoscopy was done for evaluation of presence or absence of EVs. Results: Our results revealed that Kings Score is the most sensitive and specific score in predicting the presence of EVs, followed by APRI score while AAR score has the least sensitivity and specificity.FIB-4 score is the most sensitive scoring system in predicting severe EVs, followed by APRI, Kings, and AAR scores. Regarding specificity, King's Score is the most specific one followed by FIB-4, APRI and AAR. Conclusions: King's score has the highest sensitivity and specificity in EVs prediction followed by APRI. Regarding severe EVs, FIB-4 score is the most sensitive scoring system in the prediction of severe EVs. However, King's score is the most specific one.

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Section: Figurescontrasting

confidence: 99%

“…In our study, there were significant differences between patients who had EVs and those hadn't, regarding spleen diameter as well as portal vein diameter, this constant with Mohanty et al [16] who found that portal vein diameter and splenic size were increased in patients with EVs than patients without EVs.…”

Section: Figuressupporting

confidence: 83%

Assessment of Different Non-Invasive Score Modalities in Prediction of Esophageal Varices in Patients With Liver Cirrhosis

Ahmed¹,

Mohammed²,

Alaa³

et al. 2019

Zagazig University Medical Journal

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“…The portal vein diameter in this study was larger in patients with CLD than their age-matched controls. Previous studies conducted [19][20][21][22][23][24] also reported an increase in the diameter of the portal vein in patients with CLD. Another study 25 opined that patients with a portal vein diameter greater than 12 mm were more predisposed to having portosystemic collaterals.…”

Section: Discussionmentioning

confidence: 78%

Sonographic evaluation of the portal vein diameter in patients with chronic liver disease in northeastern Nigeria

et al. 2020

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Introduction Chronic liver disease is a public health burden worldwide. Portal hypertension is a major portosystemic abnormality in chronic liver disease. This study aimed to determine the main, right, and the left portal vein diameter in patients with chronic liver disease. Materials and methods A cross-sectional study was carried out at the Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, northeastern Nigeria from December 2018 to September 2019. Ethical clearance was obtained from the institutional review board. A total of 200 subjects were recruited comprising 100 patients with chronic liver disease and 100 age-matched controls, aged 18 years and above. A transabdominal ultrasound scan was carried out measuring the main, right, and left portal vein diameter while lying supine and/or in the right anterior oblique position after overnight fasting, or 6 hours before the scan. Data analysis was done using SPSS version 22.0. Descriptive statistics (mean, standard deviation) and Pearson’s correlation were used. Results There were 106(53%) males and 94(47%) females, aged between 18 and 73 years with a mean age of 46.79 ± 15.43. The main, right, and left portal vein diameter in patients with chronic liver disease was 14.51 ± 0.78 mm, 6.83 ± 0.81 mm, and 6.26 ± 0.74 mm, which were higher than those of their control. The portal vein diameter positively correlated (weak) with age and respiratory phases among participants ( P < 0.05). Conclusion This study found the main, right, and left portal vein diameter among patients with chronic liver disease to be larger than those of the controls. Ultrasonography is a reliable diagnostic tool in evaluating portosystemic pathologies.

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“…Figure 3 depicts the comparison between PVD and PC/SD ratio regarding their sensitivity, specificity and accuracy in predicting OV. [11][12][13][14] This high prevalence of OV on endoscopy may be due to the delay in seeking treatment after signs and symptoms of portal hypertension have developed.…”

Section: Resultsmentioning

confidence: 99%

“…In accordance with our study, Mohanty et al also reported a mean PVD of 13.46±0.98 mm in the group with OV, which was significantly higher in comparison to the group without OV with 10.91±0.65 mm. 12 In a study by Bhattarai et al and Sreenath et al significant association was seen between OV and PVD. 15,16 Makarem et al also reported that PVD was higher in cirrhotic patients with OVs, but this correlation failed to reach statistical significance.…”

Section: Portal Vein Diametermentioning

confidence: 91%

Study of the correlation of oesophageal varices with portal vein diameter and ratio of platelet count to splenic diameter and their comparative evaluation in liver cirrhosis

et al. 2021

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Background: The aim of the study was to determine the correlation of oesophageal varices (OV) with portal vein diameter and the platelet count to splenic diameter ratio and their comparative evaluation in patients of liver cirrhosis.Methods:The present study consisted of 50 patients diagnosed with liver cirrhosis. Necessary investigations were performed in all the patients including Upper gastrointestinal (GI) endoscopy. Platelet count/spleen diameter ratio, spleen diameter and portal vein diameter were calculated for all patients and the presence and grading of OV was then comparatively evaluated. The results were systematically recorded and statistically analysed.Results: The mean age of patients was 49.82±10.23 years. 78% of patients presented with OV. The portal vein diameter, platelet count, spleen diameter and platelet count/spleen diameter ratio were significantly increased in patients with OV than those without OV (p<0.0001). Highly significant positive correlation between portal vein diameter, spleen diameter and grading of OV was seen. Platelet count/spleen diameter ratio and platelet count was significantly decreased as the grade of OV increased in the patients. There was statistically, a highly significant negative correlation between them.Conclusions: The non-invasive parameters used to detect presence of OV in liver cirrhosis were portal vein diameter and platelet count/spleen diameter ratio. Though, both seemed to be effective in predicting OV, platelet count/spleen diameter ratio proved to be slightly more significant when compared to the other.

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Correlation of Portal Vein Diameter and Splenic Size With Oesophageal Varices in Cirrhosis of Liver

Cited by 5 publications

References 12 publications

Assessment of Different Non-Invasive Score Modalities in Prediction of Esophageal Varices in Patients With Liver Cirrhosis

Assessment of Different Non-Invasive Score Modalities in Prediction of Esophageal Varices in Patients With Liver Cirrhosis

Sonographic evaluation of the portal vein diameter in patients with chronic liver disease in northeastern Nigeria

Study of the correlation of oesophageal varices with portal vein diameter and ratio of platelet count to splenic diameter and their comparative evaluation in liver cirrhosis

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