Back to Search
Start Over
Evaluation of entire gastric fundic and esophageal varices secondary to posthepatitic cirrhosis: portal venography using 64-row MDCT.
- Source :
-
Abdominal Imaging . Feb2010, Vol. 35 Issue 1, p1-7. 7p. 2 Black and White Photographs, 1 Chart. - Publication Year :
- 2010
-
Abstract
- <bold>Background: </bold>There are no reports regarding entire gastric fundic and esophageal varices evaluated with 64-row multidetector CT (MDCT). We attempt to clarify the feasibility of portal venography with this scanner in evaluation of these varices. <bold>Methods: </bold>A total of 33 patients, with clinically confirmed gastric fundic and esophageal varices secondary to posthepatitic cirrhosis, underwent thoracicoabdominal triphasic enhancement scans using 64-row MDCT along with conventional angiographic portography. CT portography and conventional portography were compared by statistical agreement to determine whether CT maximum intensity projection (CT-MIP) portography is useful in evaluation of entire gastric fundic and esophageal varices. <bold>Results: </bold>CT-MIP portography demonstrated gastric fundic and esophageal varices, and the inflowing and outflowing vessels of the varices. Gastric fundic varices were shown in 32 cases (97.0%), and esophageal varices were in 27 (81.8%). The inflowing vessels including the left gastric vein and posterior gastric vein/short gastric vein were illustrated in 31 (94.0%) and 17 (51.5%) cases, respectively. The outflowing vessels including the azygos vein, hemiazygos vein, and gastro-renal shunts were seen in 30 (90.9%), 8 (24.2%), and 12 (36.4%) cases, respectively. Findings of CT-MIP portography and conventional angiographic portography were in close agreement (Kappa value ranged from 0.621 to 1.000). <bold>Conclusion: </bold>CT-MIP venography with 64-row MDCT could be considered as a method for detecting entire gastric fundic and esophageal varices developed from posthepatitic cirrhosis. [ABSTRACT FROM AUTHOR]
- Subjects :
- *VENOGRAPHY
*ESOPHAGEAL varices
*CIRRHOSIS of the liver
*PATIENTS
*ANGIOGRAPHY
Subjects
Details
- Language :
- English
- ISSN :
- 09428925
- Volume :
- 35
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Abdominal Imaging
- Publication Type :
- Academic Journal
- Accession number :
- 47853923
- Full Text :
- https://doi.org/10.1007/s00261-009-9506-y