ROLE OF COLOR DOPPLER ULTRASONOGRAPHY IN THE EVALUATION OF PORTAL VENOUS HYPERTENSION

Author:

R Chaple Ramesh,Waqui Syed Zafir,D Sonawane Bhawana

Abstract

Chronic alcoholism, obesity and viral hepatitis (B & C virus) are main causes for chronic liver disease. In cirrhotic patients, portal hypertension and its complications lead to signicant morbidity and mortality. Ultrasound technique, such as duplex ultrasonography ,spectral and color Doppler imaging are the modalities of choice. Study was undertaken to evaluate spectrum of color Doppler sonographic ndings in portal hypertension, to study ow metric changes in portal hypertension and to look for presence of various Porto-systemic collaterals. Result of study shows alcoholic liver disease as the main cause for liver cirrhosis. Maximum number of patients with splenorenal collaterals. Color Doppler sonography is a valuable non-invasive alternative which provides precise information in localizing and characterizing portal vein in patients with portal hypertension and identify the presence of various Porto-systemic collaterals. The hepatic vein damping index (DI) correlates well with the severity of liver dysfunction in terms of Child Pugh score.

Publisher

World Wide Journals

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