PMID: 28496092May 13, 2017Paper

Usefulness of Contrast-Enhanced Ultrasonography for Predicting Esophageal Varices in Patients with Hepatitis B Virus (HBV)-Related Cirrhosis

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Jun LiGui-Lin Lu

Abstract

BACKGROUND The aim of this study was to investigate the usefulness of contrast-enhanced ultrasonography (CEUS) in predicting of esophageal varices (EV) and assessing high-risk EV in patients with hepatitis B virus (HBV)-related cirrhosis. MATERIAL AND METHODS Patients with HBV-related cirrhosis who had undergone endoscopy were prospectively recruited. Hepatic dynamic CEUS was performed. Regions of interest (ROI) were drawn on the hepatic artery, hepatic vein, portal vein, and liver parenchyma to measure the corresponding features, such as arrival times. Spearman's correlation analysis was used to determine the relations between several dynamic CEUS features and the degree of EV. Receiver operating characteristics (ROC) curves were constructed to investigate the diagnostic performance of CEUS in assessing the presence of EV and high-risk EV. RESULTS Fifty-eight patients (44 men; mean age 51.3 years) were included in this study. Of these, 18 (31.0%), 12 (20.7%), 11 (19.0%), and 17 (29.3%) of patients had grade 0, 1, 2, and 3 EV, respectively. Grade 2 and grade 3 EV were considered high-risk EV. Among the CEUS features, the area under the ROC curves of intrahepatic transit time (HV-HA, i.e., the difference between hepatic vein arr...Continue Reading

References

Nov 1, 1981·Gastrointestinal Endoscopy·K BeppuM Kobayashi
Feb 15, 2003·Journal of Hepatology·Manuela MerliOliviero Riggio
Mar 26, 2003·The American Journal of Gastroenterology·Naga ChalasaniJianzhao Shen
Sep 7, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Nicolas CarbonellRaoul Poupon
Sep 20, 2007·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Guadalupe Garcia-TsaoUNKNOWN Practice Parameters Committee of the American College of Gastroenterology
Oct 5, 2007·Journal of Gastroenterology and Hepatology·Sanjay Kumar Sharma, Rakesh Aggarwal
Feb 29, 2008·Journal of Hepatology·Jaime BoschJuan G Abraldes
May 15, 2008·The American Journal of Gastroenterology·Annalisa BerzigottiJuan C García-Pagan
Dec 15, 2010·Ultrasound in Medicine & Biology·Antonio OrlacchioGiovanni Simonetti
Jan 27, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Chao-Xue ZhangJian-Ming Xu
Jul 20, 2011·Journal of Hepatology·Laurent CasteraJaime Bosch
Apr 5, 2012·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Moon Young KimDong Joon Kim
May 15, 2013·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Hiroyuki MorisakaNobuyuki Enomoto
Apr 1, 2014·Clinics in Liver Disease·Roberto de Franchis, Alessandra Dell'Era
Oct 23, 2014·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·En-Ze QuJin-Rui Wang
Dec 22, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Han DengXiaozhong Guo
Jan 5, 2017·World Journal of Surgery·Arda Isikİsmayil Yılmaz

❮ Previous
Next ❯

Related Concepts