PMID: 8956183Nov 1, 1996Paper

Endosonographic evaluation of the rectum in children with extrahepatic portal venous obstruction

Journal of Pediatric Gastroenterology and Nutrition
S K YachhaU C Ghoshal

Abstract

Rectal endoscopic ultrasonography (REUS) was performed using an Olympus EU-M3 ultrasound fiberscope in 25 children with extrahepatic portal venous obstruction (median age of 8, range 3-16 years) and in eight control subjects (median age of 8, range 6-13). Rectal varices (tortuous or nodular distended veins seen beneath the mucosa) and portal hypertensive rectopathy were diagnosed endoscopically. At rectal endosonography, rectal varices were seen as rounded, oval, or longitudinal echo-free structures in the submucosa. Perirectal veins outside the rectal wall were also seen in REUS. Portal hypertensive rectopathy was endoscopically observed in nine (36%) patients. Rectal varices were detected by endoscopy in nine (36%) and by endosonographic examination in 19 (76%) patients with extrahepatic portal venous obstruction. The number (2, range 0-10) and size (3, range 0-4.5 mm) of submucosal veins seen on endosonography in patients were greater than in controls (0, range 0-1, and 0, range 0-2 mm; p < 0.001 for both). The size of perirectal veins was greater in patients than in controls (3.5, range 3-5 mm versus 2.5, range 2-3 mm; p < 0.001). Communicating veins between the submucosal and perirectal veins were seen in nine (36%) patien...Continue Reading

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Citations

Nov 8, 2002·Indian Journal of Pediatrics·S K YachhaRicha Lal
Feb 7, 2001·Gastroenterology Clinics of North America·V L Fox
Dec 11, 2002·Journal of Gastroenterology and Hepatology·Surender Kumar Yachha
Jan 1, 2010·Clinical and Experimental Gastroenterology·Takahiro SatoTakumi Ohmura
Oct 14, 2011·International Journal of Hepatology·Takahiro SatoTakumi Ohmura
Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Arathi Lakhole, Quin Y Liu
May 29, 2009·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Takahiro SatoJun Akaike
Jun 15, 2007·The American Journal of Gastroenterology·Takahiro SatoJun Akaike
Mar 1, 2007·Journal of Medical Ultrasonics·Masayuki NakanowatariToshihiro Suga
Jun 27, 2007·Journal of Pediatric Gastroenterology and Nutrition·D DevadasonP J McKiernan
Feb 22, 2018·Hepatology International·Rajeev Khanna, Shiv Kumar Sarin
Jun 15, 2017·Indian Journal of Pediatrics·Richa LalManish K Gupta
Jul 21, 2020·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Moinak Sen Sarma, Surender Kumar Yachha

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