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| Splenoportal Index on Color Doppler Ultrasound : Value as an Index for Predicting the Risk of Variceal Bleedingin Patients with Postnecrotic Liver Cirrhosis |
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| In Kyu Yu, M.D., Byung Ihn Choi, M.D., Jae Hyung Park, M.D., Joon Koo Han, M.D., Kyung Mo Yeon, M.D., Chu Wan Kim, M.D. |
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| Department of Radiology, Seoul National University College of Medicine |
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| PURPOSE : To evaluate the splenoportal index (SPI ; splenic venous volume flow rate / portal venous volumeflow rate) for predicting the risk of variceal bleeding in patients with postnecrotic liver cirrhosis on colorDoppler ultrasound. MATERIAL & METHODS : Mean portal and splenic venous volume flow rates were measuredretrospectively with a color Doppler instrument in two groups of patients ; Group A (n = 40) had episodes ofvariceal bleeding while group B (n = 50) had not. Endoscopic findings were correlated with the SPI. RESULTS : MeanSPI was 2.10 in patients of group A, 0.73 in patients of group B. The variceal bleeding was developed in patientswith SPI over 1.0 with a sensitivity of 0.95 and specificity of 0.92, whose endoscopy revealed multiple beadedvariceal distention in the distal esophagus. CONCLUSION : SPI could be regarded as an useful index for predictingthe risk of variceal bleeding in patients with postnecrotic liver cirrhosis. |
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| Keyword : Esophagus. varices, Portal vein. varices, Portal vein. US |
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 1996 ; 15 (2) : p.163-170
