内視鏡的硬化療法(EIS)前後の左胃静脈(LGV)血行動態 体外式カラードプラ超音波断層法(CD‐US)による検討

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  • Hemodynamics of the Left Gastric Vein(LGV) before and after Endoscopic Injection Sclerotherapy(EIS) detected by Color Doppler Ultrasonography(CD-US).

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説明

32 patients with portal hypertension and esophageal varices were submitted in this prospective study. We performed CD-US to them before and after EIS. Hepatofugal flow in LGV by CD-US was 88% before EIS. Mean flow velocity on LGV in post EIS state was significantly lower than that in pre EIS state (16.6±6.1 to 12.2±7.3cm/s; P<0.015). Diameter of LGV in post EIS state was significantly narrower than that in pre EIS state (5.0±1.6 to 4.4±1.3mm; P<0.0002). EIS effect defined as decreasing to undetectable flow velocity on LGV, narrowing to disappearance diameter of LGV. According to these criteria, EIS was effective for LGV in 84%. Subsequent arteriography was performed in these patients, and EIS was effective for LGV in 88%. These results suggested that CD-US had similar value arteriography for estimation of EIS effect to LGV.

収録刊行物

  • 肝臓

    肝臓 40 (4), 205-216, 1999

    一般社団法人 日本肝臓学会

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