A Study of renal hemodynamics in chronic liver disease
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Aim :1)To estimate renalresistive(RI) index and pulsatility(PI) index in chronic liver disease2)To study the association between RI,PI and severity of liverdisease, esophageal varices . Methods:57 consecutive CLD outpatients were included in study,detailed historyand labdata was collected,all patient underwent Doppler study of renal artery to estimate RI and PI and gastroscopy Results:both meanRI and mean PI higher in CLD 0.72,1.48 compared to normal 0.62,1.00.RI and PI also showed a good correlation with severity of liver disease meanRI in child A 0.64+/_0.025,childB cld0.71+/_0.019,childc0.78+/_0.036(Kruskal –wallis H=45.3,p<0.001.mean PI also showed a similar finding,mean PI in childA 1.15+/-0.086,Child B1.38+/-0.086,Child C1.83+/-0.180.Kruskal-wallis H=47.8,p<0.00l.Conclusion:1)RI and PI are higher in cld .2)RI andPI show a significant positive correlation with severity of liver disease3)RI and PI may predict the presence of varices
Authors and Affiliations
Dr Muthukumaran kalyanasundaram, Dr balamurali rangachari
Keywords
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