Role of echo Doppler ultrasonography in the evaluation of postprandial hyperemia in cirrhotic patients

World Journal of Gastroenterology : WJG
Osman OzdoganNurdan Tozun

Abstract

To assess the role of echo-Doppler ultrasonography in postprandial hyperemia in cirrhotic patients by comparing the results with the hepatic vein catheterization technique. Patients with cirrhosis, admitted to the portal hemodynamic laboratory were included into the study. After an overnight fast, echo-Doppler ultrasonography (basal and 30 min after a standard meal) and hemodynamic studies by hepatic vein catheterization (basal, 15 min and 30 min after a standard meal) were performed. Ensure Plus (Abbot Laboratories, North Chicago, IL) was used as the standard liquid meal. Correlation analysis of the echo-Doppler and hepatic vein catheterization measurements were done for the basal and postprandial periods. Eleven patients with cirrhosis (5 Child A, 4 Child B, 2 Child C) were enrolled into the study. After the standard meal, 8 of the 11 patients showed postprandial hyperemia with increase in portal blood flow, portal blood velocity and hepatic venous pressure gradient. Hepatic venous pressure gradient in the postprandial period correlated positively with postprandial portal blood velocity (r = 0.8, P < 0.05) and correlated inversely with postprandial superior mesenteric artery pulsatility index (r = -1, P < 0.01). Postprandial ...Continue Reading

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Citations

Mar 6, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Gaeun KimSang Ok Kwon
Sep 4, 2015·Acta ortopedica brasileira·Adelmário Cavalcanti Nogueira, Manoel de Jesus Moura Júnior
Sep 2, 2011·Journal of the International Neuropsychological Society : JINS·Joseph R SadekKathleen Y Haaland
Oct 4, 2011·Journal of Korean Academy of Nursing·Myungsun YiEun Young Park
Jan 13, 2016·World Journal of Gastroenterology : WJG·Zoran Stankovic
Oct 7, 2021·Scientific Reports·Marzanna ObrzutKrzysztof Gutkowski

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