Usefulness of Endoscopic Color Doppler Ultrasonography for Evaluation of Hemodynamics of Gastric Varices
スポンサーリンク
概要
- 論文の詳細を見る
The purpose of this study is to evaluate the usefulness of endoscopic color Doppler ultrasonography (ECDUS) in the assessment of hemodynamics of gastric varices. In 77 patients examined, gastric varices were categorized as follows : as for form, 65 were of F<SUB>2</SUB> type varices, 12 were of F<SUB>3</SUB> type, and as for location, six were cardiac varices, 32 were fundic varices, and 39 were cardiofornical varices. ECDUS detected color flow image of intramural gastric varices in all 77 patients. The velocity of blood flow calculated by ECDUS was significantly higher in F<SUB>3</SUB> varices than in F<SUB>2</SUB> type. Gastric varices were further arbitrarily classified into three types. Type 1 : intramural gastric varices is greater than perigastric veins. Type 2 : intramural gastric varices is nearly equal to well developed perigastric veins, and the gastrorenal shunt is detected. Type 3 : perigastric veins is greater than intramural varices. Velocity of type 2 varices was significantly higher than other type varices. ECDUS can evaluate the hemodynamics of gastric varices and predict the possibility of bleeding, and determine the most effective treatment with ECDUS. In conclusion, ECDUS is useful to assess the hemodynamics of gastric varices.
- The Japan Society for Portal Hypertensionの論文
The Japan Society for Portal Hypertension | 論文
- 経食道アプローチによる超音波検査法が診断に有用であったBudd-Chiari症候群の1例
- 内視鏡的治療後の遺残再発静脈瘤に対するHassab手術成績の検討
- 肝過形成結節を伴った先天性門脈欠損症の1例:-両者の関連性の観点から
- 肝硬変におけるTIPSによるEndothelin-1の変化
- 巨大な食道壁外シャントを有する食道静脈瘤症例に対する選択的静脈瘤結紮併用硬化療法の試み