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

作　　者：Ozdogan Osman Atalay Huseyin Cimsit Cagatay Tahan Veysel Tokay Sena Giral Adnan Imeryuz Nese Baltac|oglu Feyyaz Tuney Davut Erzen Canan Tozun Nurdan 

机构地区：[1]Department of Gastroenterology, Marmara University, School of Medicine, Istanbul, Turkey [2]Department of Internal Medicine, Marmara University, School of Medicine, Istanbul, Turkey [3]Department of Radiology, Marmara University, School of Medicine, Istanbul,Turkey

出　　处：《World Journal of Gastroenterology》2008年第2期260-264,共5页世界胃肠病学杂志（英文版）

摘　　要：AIM: To assess the role of echo-Doppler ultrasonography in postprandial hyperemia in cirrhotic patients by comparing the results with the hepatic vein catheterization technique.METHODS: 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.RESULTS: 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).CONCLUSION: Postprandial hyperemia can be efficiently measured by echo-Doppler ultrasonography and the results are comparable to those obtained with the hemodynamic studies.AIM： TO assess the role of echo-Doppler ultrasonography in postprandial hyperemia in cirrhotic patients by comparing the results with the hepatic vein catheterization technique. METHODS： 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. RESULTS： 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）. CONCLUSION： Postprandial hyperemia can be efficiently measured by echo-Doppler ultrasonography and the results are comparable to those obtained with the hemodynamic studies.

关 键 词：Postprandial hyperemia ECHO-DOPPLER Hemodynamic study CIRRHOSIS Portal hypertension Portal pressure 

分 类 号：R575.2[医药卫生—消化系统]