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

Luntsi, Geofery; Muhammad, Musa A.; Shirama, Yakubu Bababa; Mohammed, Mohammed Lawal; Suleiman, Aliyu; Ochie, Kalu

doi:10.1177/1742271x20944981

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…A research study conducted in northeastern Nigeria, included a total of 200 subjects comprising 100 with CLD and other 100 were included in matched control group, in which 106 (53%) males and 94(47%) females, aged between 18 and 73 years. according to this study, Portal vein diameter was more in males than in females 3 .…”

Section: Discussionsupporting

confidence: 55%

“…The normal diameter of the portal vein is about 7-15mm 2 . CLD is a continuous degradation of liver functions, Cirrhosis is the last stage of chronic liver disease 3 . In Liver cirrhosis normal liver functional cells replace by scar tissue , cirrhosis causes change in hepatic vascular pattern 4 , this change results in increased resistance to portal blood flow which in turn causes portal hypertension 5 .…”

Section: Introductionmentioning

confidence: 99%

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Frequency of Portal Vein Dilatation in Chronic Liver Diseased Patients through Ultrasound

Ahmed¹,

Khan²,

Ullah³

et al. 2023

PJMHS

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Background: Cirrhosis is one of the chronic liver disease in which the liver cells get fibrose and healthy tissues converted into scar tissues. The scar tissues compress the sinusoidal space in which portal vein drains, this causes pressure in portal vein and due to the backflow of blood the portal vein dilates. Portal vein dilatation in chronic liver disease patients leads to various complications. The objective of this study was to find out the frequency of portal vein dilatation in chronic liver disease patients and correlate it with age, gender, smoking, spleen size and ascites. Methods: This cross-sectional study, which involves the convenient sampling techniquewas conducted at Shangla hospital Swat conducted in 2022 with sample size of 171 patients from World Health Organization calculator, out of 171 , 2 patients did not give response, so we included 169 patients.. confidence level taken is 95%. The level of significance is 5% and Prevalence is 20%. Data was collected through a standard and validated questionnaire which included three portions. 1st portion of questionnaire contained written informed consent. 2nd portion contained demographic profile of the patient. 3rdportion of questionnaire contained all the sonographic findings. Data were analyzed through SPSS version 22. Correlation, spearman and pearson tests were applied. Result: There were total of 169 patients consisted of 102 males and 67 females. Out of 169 patients 53 were having normal portal vein diameter and 116 were having portal vein dilatation. Portal vein diameter is not affected by gender. Age and smoking are associative factors of portal vein dilatation. Ascites occurs in chronic liver disease patients due to dilated portal vein. Portal vein dilatation does not affect spleen size. Early detection of liver diseases and diagnosis of focal and diffuse parenchymal disease can be made possible with ultrasound because its first line of investigation, its efficiency is 95%, its noninvasive, easily available in the backward areas and various factors such as liver size, shape changes, liver markings, echogenicity, nodular pattern, portal vein diameter, inferior vena cava irregularity and spleen size can all be timely detected with ultrasound and life can be saved. Conclusion: It is concluded in this study that portal vein dilatation increases with age and is more common in middle aged people, gender and spleen size does not show any relation with portal vein dilatation. Ascites increases with portal vein dilatation and smoking is also an associative factor for portal vein dilatation in chronic liver disease patients. Keywords: Chronic liver disease, ultrasonography, portal vein dilatation, portal hypertension, cirrhosis, parenchymal disease.

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Section: Discussionsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Frequency of Portal Vein Dilatation in Chronic Liver Diseased Patients through Ultrasound

Ahmed¹,

Khan²,

Ullah³

et al. 2023

PJMHS

View full text Add to dashboard Cite

show abstract

“…These findings were similar to those reported by Chou (12) in Malaysia, Songmen (8) Harshita (16) in North India also reported similar findings of a portal vein diameter of Original research 9.17±2.33mm (males) and 8.95±1.9mm (females), respectively, with an average PSV value of 13-15cm/s and Gallix (17) reporting an average portal vein PI value of 0.48±0.31. The similarities in these results may not be unconnected to the employment of similar methods, techniques of measurements, instruments, and observer expertise since sonography is a highly operatordependent imaging modality (18).…”

Section: Discussionmentioning

confidence: 85%

Ultrasound Evaluation of Portal Vein Diameter and Its Doppler Hemodynamics in Apparently Healthy Adults In a Tertiary Healthy Adults In Northern Nigeria.

Galda,

Luntsi,

Shirama

2023

African Journal of Gastroenterology and Hepatology

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Background: Portal vein enlargement was initially considered the main sign of portal hypertension. However, the portal vein caliber does not increase angiographically and may decrease with increasing porto-hepatic venous pressure. Hepatofugal flow and/or portosystemic shunt developments also decrease the portal vein caliber, thus making the portal vein size alone a nonreliable indicator of portal hypertension.Objective: To determine the portal vein diameter (PVD), peak systolic velocity (PSV), and pulsatility index (PI) and their relationships in apparently healthy adults based on age, gender, and anthropometric variables. Conclusion:This study has established reference values for standard portal VD, PSV, and PI in a Northern Nigerian population with their corresponding relationships based on age, gender, and anthropometric variables.

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Chronic Liver Disease in the Older Patient—Evaluation and Management

DiLeo,

Gidener,

Aytaman

2023

Curr Gastroenterol Rep

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

Cited by 4 publications

References 25 publications

Frequency of Portal Vein Dilatation in Chronic Liver Diseased Patients through Ultrasound

Frequency of Portal Vein Dilatation in Chronic Liver Diseased Patients through Ultrasound

Ultrasound Evaluation of Portal Vein Diameter and Its Doppler Hemodynamics in Apparently Healthy Adults In a Tertiary Healthy Adults In Northern Nigeria.

Chronic Liver Disease in the Older Patient—Evaluation and Management

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