International Journal of Contemporary Surgery

  • Year: 2017
  • Volume: 5
  • Issue: 2

Portal Vein Doppler: A Tool for Non-Invasive Prediction Esophageal Varices

  • Author:
  • Sudhir Sachar1, Sukriti Verma2,, Akhil K Gupta3, Saurabh Sachar4, Vimugdha Premi5, Subhash Baliyan6
  • Total Page Count: 6
  • Page Number: 69 to 74

1Prof & HOD, Deptt. of ENT & Head & Neck Surgery, Govt Medical College, Srinagar

2PG JR III, Deptt. of ENT & Head & Neck Surgery, Govt Medical College, Srinagar

3Asso Prof, Dept of Surgery, Deptt. of ENT & Head & Neck Surgery, Govt Medical College, Srinagar

4SR, Deptt. of ENT & Head & Neck Surgery, Govt Medical College, Srinagar

5PG JR II, Deptt. of ENT & Head & Neck Surgery, Govt Medical College, Srinagar

6Asso Prof, Department of Radiodiaagnosis, Muzaffarnagar Medical College & Hospital, Muzaffarnagar, U.P.

Abstract

Esophageal and paraesophageal varices are abnormally dilated veins of the esophagus. They are native veins that serve as collaterals to the central venous circulation when flow through the portal venous system or superior vena cava (SVC) is obstructed. Esophageal varices are collateral veins within the wall of the esophagus that project directly into the lumen. The veins are of clinical concern because they are prone to hemorrhage.

To ennvaluate role of potal vein Doppler in predicting esophageal varices as a non invasive technique.

The study was conducted at the Department of Radiodiagnosis and Department of Surgery, Muzaffarnagar Medical college, Muzaffarnagar between May 2015 and Sep 2016. A total of 50 patients were taken which includes 30 male and 20 female patients, youngest of these was 19 years old and oldest was 80 years old. Maximum patients were seen in the age group of 21–30 and 41–50 years. Colour Doppler and endoscopy was performed in all the patients presenting with features of portal hypertension.

The potal vein diameter is able to differentiate between grade I and grade III esophageal varices. Their values are significantly higher than the normal in patient with esophageal varices.

Keywords

PH (Portal Hypertension), GI (Gastro Intestinal)