Congestion Index of Portal Vein in the Evaluation of Liver Disease
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Introduction: The invention of Doppler has made it possible to study the hemodynamics of blood flow in the human body. Non-alcoholic fatty liver disease (NAFLD), chronic viral hepatitis and alcoholic liver cirrhosis are three most common disorders affecting the liver. In our study congestion index of portal vein was studied in normal subjects as well as in these three groups of patients. Aim of the study: To evaluate the efficacy of congestion index to distinguish normal subjects from those with Non-alcoholic Fatty liver disease, Alcoholic chronic liver disease and Chronic Viral Hepatitis. Materials and Methods: A descriptive comparative study was done in Government Medical College, Thrissur for a period of eleven months and 401 subjects were studied. Sampling was done by Purposive sampling of patients attending the Ultrasound OPD in department of Radiodiagnosis and Medicine OPD. Patients diagnosed to have Chronic Viral Hepatitis (CVH), Chronic alcoholic liver disease, Non-alcoholic fatty liver disease and Normal subjects were included in the study. Results and Discussion: The median congestion index was calculated. The values are as follows. In normal subjects-0.021, NAFLD patients-0.027, CVH patients-0.050 and Alcoholic cirrhotic patients0.060. There is significant difference in congestion index between the different population groups studied & hence it can be used to indicate the presence of liver disease. There is significant difference in the congestion index between pediatric and adult patients affected with NAFLD, with pediatric patients having lower values of congestion indices indicative of less severe disease. There is no significant difference in the congestion index of different age groups studied in the normal population. Conclusion: Congestion index shows promise in distinguishing normal subjects from patients with liver disease. Doppler can be used in clinical settings as an alternative test to Liver biopsy to detect the presence or absence of liver disease when the biochemical and serological markers of liver disease are ambiguous or could not be done.
Authors and Affiliations
Dr Suny Thomas
Keywords
Related Articles
- EP ID EP285561
- DOI -
- Views 94
- Downloads 0
Study of type of Refractive error in Paediactric age group using Retinoscopy
Retinoscopy was done in 200 eyes of age group 0- 12yrs to study the refractive status in children.
Clinicopathological Study of Hashimoto’s Thyroiditis and Its Management
Hashimoto’s thyroiditis is a common cause of goitrous enlargement with hypothyroidism. This study was done to study various clinical presentations with thyroid function and to diagnose and treat the cases with thyroxine...
Lymph Node Aspirations: A Study of Pattern in 300 Cases, Esic Modal Hospital, Gurgaon
Introduction: Fine needle aspiration cytology (FNAC) is most popular diagnostic aid in patients with lymphadenopathy. This paper proves it to be highly sensitive. Materials and Methods: The present study was undertaken t...
Granular Cell Tumour – Esophagus Presented As Gastric Esophgeal Reflex Disease
Granular cell tumor of esophagus belongs to the category of soft tissue neoplasm and originates from Schwann cells. The tumor predominantly occurs in the oral cavity, breast tissue and skin. Esophageal origin is uncommon...
Cellular Atypia as a Risk Factor for Persistant Trophoblastic Disease: Prospective Cohort Study
Introduction: Gestational trophoblastic tumours have varying behavior from being locally invasive to metastatic. It would be useful if there is an effective prognosticating method especially in low resource settings. Thi...