Effects of selective double portazygous disconnection and devascularization on hemodynamics of the portal venous system.

Abstract:

AIM:Selective double portazygous disconnection with preserving vagus (SDPDPV) is currently used for the therapy of portal hypertension. Doppler ultrasonography (DU) has been proposed for non-invasive evaluation of splanchnic hemodynamics, but the effect of SDPDPV on portal vein (PV) hemodynamics has not been analyzed with DU. This was the aim of the study. MATERIAL AND METHODS:Two hundred and thirty six patients with cirrhotic portal hypertension who underwent either SDPDPV or pericardial devascularization with splenectomy (PDS) for variceal bleeding were enrolled. The hemodynamics parameter, operation-relevant information, change of lavatory examination data, postoperative complications, and clinical outcomes were analyzed. RESULTS:The free portal pressure (FPP) in the SDPDPV group was significantly lower than the PDS group after operation (p<0.05). Velocities and blood flow of PV after SDPDPV decreased; however, when the hepatic artery (HA) and superior mesenteric vein (SMV) increased, the differences were significant (p<0.05). The correlation between the decreased FPP and changed blood flow of portal vein(PVF), hepatic artery (HAF) or superior mesenteric vein (SMVF) was significant (p<0.05) after SDPDPV. The difference between pre and postoperative values of portal congestion index (CI) in SDPDPV was significant (p<0.05). Occurrences or development of postoperative rebleeding showed a great difference between the two groups (p< 0.05). PVF and SMVF were significant independent indicators of postoperative rebleeding (p< 0.05). CONCLUSIONS:Compared with the PDS, the SDPDPV apparently decreased the blood velocity and blood flow of PV, and increased that of HA and SMV which has a beneficial effect on hepatic function and encourages the controlof the recurrent bleeding from varices. PVF and SMVF may be value indicators in predicting postoperative rebleeding.

journal_name

Med Ultrason

journal_title

Medical ultrasonography

authors

Zong GQ,Fei Y,Chen J,Liu RM,Xu YF

doi

10.11152/mu.201.3.2066.164.gqz

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

291-7

issue

4

eissn

1844-4172

issn

2066-8643

journal_volume

16

pub_type

临床试验,杂志文章
  • US-guided peripheral vascular interventions, comments on the EFSUMB guidelines.

    abstract::Peripheral venous as well as arterial punctures have traditionally been performed on the basis of designated anatomical landmarks. However, due to patients' individual anatomy and vessel pathology and depending on individual operators' skill, this landmark approach is associated with a significant failure rate and com...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章,评审

    doi:10.11152/mu.2013.2066.182.umb

    authors: Dietrich CF,Horn R,Morf S,Chiorean L,Dong Y,Cui XW,Atkinson N,Jenssen C

    更新日期:2016-06-01 00:00:00

  • Detection and characterization of small superficially located focal liver lesions by contrast-enhanced ultrasound with high frequency transducers.

    abstract:AIM:To evaluate the benefits of contrast-enhanced ultrasound (CEUS) with high frequency transducers in the detection and characterization of small superficially located focal liver lesions (FLLs). MATERIAL AND METHODS:From January 2015 to October 2016, 27 superficial FLLs detected by MRI were examined, first with the ...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-1276

    authors: Wang WP,Dong Y,Cao J,Mao F,Xu Y,Si Q,Dietrich CF

    更新日期:2017-11-29 00:00:00

  • Anomalies of the inferior vena cava in patients with deep venous thrombosis. Pictorial essay.

    abstract::The incidence of agenesis of inferior vena cava in the general population was estimated at 0.6 - 0.8%. In patients with deep vein thrombosis the frequency of agenesis was estimated between 5 and 6.7% in young people. In this pictorial essay, we present the ultrasound findings obtained in 8 patients with high deep veno...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:

    authors: Pop S,Opincaru I

    更新日期:2012-03-01 00:00:00

  • Point shear wave speed measurement in differentiating benign and malignant focal liver lesions.

    abstract:AIM:To investigate the value of ElastPQ measurement for differential diagnosis of benign and malignant focal liver lesions (FLLs) by using histologic results as a reference standard. MATERIAL AND METHODS:A total of 154 patients were included. ElastPQ measurement was performed for each lesion in which the shear wave sp...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-1142

    authors: Dong Y,Wang WP,Xu Y,Cao J,Mao F,Dietrich CF

    更新日期:2017-06-26 00:00:00

  • Ultrasound for neuraxial blockade.

    abstract::Neuraxial blockade is still largely performed as a blind procedure. Despite of developments in the type of needles used and drugs administered, the process of locating the epidural or intra-thecal space is still limited to identification of landmarks by palpation and reliance on tactile feedback of the operator. Ultra...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章,评审

    doi:

    authors: Srinivasan KK,Lee PJ,Iohom G

    更新日期:2014-12-01 00:00:00

  • Oral and I.V. contrast enhanced ultrasonography of the digestive tract--a useful completion of the B-mode examination: a literature review and an exhaustive illustration through images.

    abstract::Contrast enhanced ultrasonography, using i.v. and/or oral/rectal contrast agents, represents a technical development of the US method, which has proved its applicability in the qualitative and quantitative assessment of the normal and pathological circulatory bed, as well as of the digestive lumen. The use of microbub...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章,评审

    doi:10.11152/mu.2013.2066.171.cnrb

    authors: Neciu C,Badea R,Chiorean L,Badea AF,Opincariu I

    更新日期:2015-03-01 00:00:00

  • Thyroglossal duct cyst: dynamic ultrasound evaluation and sonoanatomy revisited.

    abstract::. ...

    journal_title:Medical ultrasonography

    pub_type: 信件

    doi:10.11152/mu-1879

    authors: Chang KV,Wu WT,Özçakar L

    更新日期:2019-02-17 00:00:00

  • The use of ultrasonography in learning clinical examination - a pilot study involving third year medical students.

    abstract:BACKGROUND:Physical examination is a crucial part in medical student curricula, but a decline in physical examination skills was noted in the last two decades. The benefic role of ultrasonography (US) as an adjuvant method for clinical examination was evaluated in many studies, but there are different approaches among ...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章,随机对照试验

    doi:10.11152/mu.2013.2066.143.df177

    authors: Fodor D,Badea R,Poanta L,Dumitrascu DL,Buzoianu AD,Mircea PA

    更新日期:2012-09-01 00:00:00

  • Ultrasonography in the diagnosis and management of non inflammatory conditions of the hand and wrist.

    abstract::High resolution ultrasonography has already become an important tool in the diagnosis and management of inflammatory arthritis of the hand and wrist but lately it has been proven to be the method of choice in the evaluation of traumatic lesions of tendons, annular pulleys, nerves, and ligaments and at the same time in...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章,评审

    doi:10.11152/mu.2013.2066.181.vej

    authors: Vreju FA,Ciurea ME,Popa D,Popa F,Parvanescu CD,Chisalau BA,Barbulescu AL,Parvanescu V,Rosu A,Ciurea PL

    更新日期:2016-03-01 00:00:00

  • Tumor protrusion with intensive blood signals on ultrasonography is a strongly suggestive finding of follicular thyroid carcinoma.

    abstract:AIM:It is difficult to differentiate follicular carcinomas (FC) from follicular adenomas (FA) because ultrasonography and cytology provide very similar findings. FC is histopathologically diagnosed to have capsular and/or vascular invasion. In a few patients, tumor protrusions are observed by preoperative ultrasonograp...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu.2013.2066.181.kok

    authors: Kobayashi K,Hirokawa M,Yabuta T,Masuoka H,Fukushima M,Kihara M,Higashiyama T,Ito Y,Miya A,Amino N,Miyauchi A

    更新日期:2016-03-01 00:00:00

  • Added value of intravenous contrast-enhanced ultrasound for characterization of cystic pancreatic masses: a prospective study on 37 patients.

    abstract:UNLABELLED:The aim of this study was to evaluate the added value of contrast-enhanced ultrasound (CEUS) in the pancreatic cystic mass (PCM) diagnosis by using a qualitative and quantitative analysis in order to make a relevant characterization. PATIENTS AND METHOD:Between December 2008 and November 2011, 37 patients w...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:

    authors: Vasile TA,Socaciu M,Stan Iuga R,Seicean A,Iancu C,al Hajjar N,Zaharie T,Badea R

    更新日期:2012-06-01 00:00:00

  • Sonography of Encapsulated Fat Necrosis with Histologic Correlation.

    abstract::. ...

    journal_title:Medical ultrasonography

    pub_type: 信件

    doi:10.11152/mu-2650

    authors: Jfri A,Najera L,Alfageme F

    更新日期:2020-09-05 00:00:00

  • Osgood-Schlatter disease--ultrasonographic diagnostic.

    abstract::Osgood-Schlatter disease is a condition that is caused by traction of the muscle-tendon unit at tibial tuberosity, which affects adolescents who exercise. The predisposing factors include rapid growth and physical activity, particularly running and jumping. Osgood- Schlatter disease causes intermittent pain, which can...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:

    authors: Vreju F,Ciurea P,Rosu A

    更新日期:2010-12-01 00:00:00

  • Ultrasonographic evaluation of abdominal wall fat index, carotid intima-media thickness and plaque score in obstructive sleep apnea syndrome.

    abstract:AIMS:Obstructive sleep apnea syndrome (OSAS) is strongly related with increased risk of cardiovascular diseases andvisceral obesity. Abdominal wall fat index (AFI) is an indicator of visceral fat accumulation determined by ultrasonography(US). Carotid intima-media thickness (C-IMT) and carotid plaque score (C-PS) are t...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-1949

    authors: Çetin N,Güneş Tatar İ,Yüceege M,Ergun O,Hekimoğlu B

    更新日期:2019-11-24 00:00:00

  • Is the presence of echo-rich periportal cuffing in the liver indicator for abdominal inflammation in pediatric patients?

    abstract:AIMS:Hyperechoic/echo-rich periportal cuffing (ErPC) is defined as an increase in echogenicity relative to the adjacentliver parenchyma. Thickening in the periportal area may occur with proliferation of bile ducts, hemorrhage, oedema, fibrosis,inflammatory changes or a combination of these. The aim of this study is to ...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-1940

    authors: Fidan N,Mermi Yetis EU,Murat M,Yucesoy C,Turgal E,Metin M

    更新日期:2019-08-31 00:00:00

  • Why the EFSUMB guidelines in musculoskeletal ultrasonography are necessary?

    abstract::. ...

    journal_title:Medical ultrasonography

    pub_type: 社论

    doi:10.11152/mu-2928

    authors: Fodor D

    更新日期:2020-11-18 00:00:00

  • Ultrasound in the evaluation of penetrating thoraco-abdominal trauma: a review of the literature.

    abstract::The use of ultrasound in the evaluation of blunt thoraco-abdominal trauma is well described. Evidence for the use of ultrasound in the evaluation of penetrating cardio-thoracic and abdominal trauma, however, is more limited and varied. Current literature demonstrates that ultrasound is an excellent screening tool for ...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章,评审

    doi:10.11152/mu.2013.2066.174.evp

    authors: Governatori NJ,Saul T,Siadecki SD,Lewiss RE

    更新日期:2015-12-01 00:00:00

  • Ultrasound study is useful to discriminate between axonotmesis and neurotmesis also in very small nerves: a case of sensory digital ulnar branch study.

    abstract::Discrimination between axonotmesis and neurotmesis is crucial in traumatic nerve injury. We present the case of a 43-year-old woman which presented hypoesthesia in the fourth and fifth right fingers, started after surgery for Dupuytren syndrome. At ultrasound study, the ulnar digital sensory branch was identified. Bef...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:

    authors: Renna R,Coraci D,De Franco P,Erra C,Ceruso M,Padua L

    更新日期:2012-12-01 00:00:00

  • Evaluation of nasal fluid flow in fetuses by Doppler ultrasound.

    abstract::. ...

    journal_title:Medical ultrasonography

    pub_type: 信件

    doi:10.11152/mu-885

    authors: Zielinski R,Respondek-Liberska M

    更新日期:2016-12-05 00:00:00

  • Acoustic radiation force impulse elastosonography of placenta in maternal red blood cell alloimmunization: a preliminary and descriptive study.

    abstract:AIMS:Maternal red blood cell alloimmunization is an important cause of fetal morbidity and mortality in the perinatal period, despite well-organized prophylaxis programs. The objective of the study was to evaluate placental elasticity by using Acoustic Radiation Force Impulse (ARFI) in Rhesus (Rh) alloimmunized pregnan...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-924

    authors: Cetin O,Karaman E,Arslan H,Akbudak I,Yıldızhan R,Kolusarı A

    更新日期:2017-01-31 00:00:00

  • Prospective investigation of pain associated with ultrasound- and computed tomography-guided percutaneous biopsies in oncological patients.

    abstract::AimsThe present study aims to investigate the pain, anxiety and other factors that are associated with percutaneous computed tomography (CT)- and ultrasound (US)-guided biopsies of tumors.Material and MethodsThe study prospectively included 60 consecutive patients, of which 24 underwent CT-guided biopsies and 36 US-gu...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-2256

    authors: Roman A,Palego F,Achimas-Cadariu P,Vlad C,Andries A,Tomuleasa CI,Gata VA,Pintican R,Rada MP,Feier D

    更新日期:2020-03-01 00:00:00

  • Ectopic thyroid in duplicated gall bladder: a rare entity. Case report.

    abstract::Duplication of the gall bladder is a rare anomaly. Ectopic thyroid in a gall bladder is also exceedingly rare with only four cases of ectopic thyroid tissue in the gall bladder reported in English literature. We report the unique case of ectopic thyroid tissue in a duplicated gall bladder in a 51-year-old female with ...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu.2013.2066.151.mk1etd2

    authors: Kachare MB,Khandelwal A,Kulkarni SB,Saboo SS

    更新日期:2013-03-01 00:00:00

  • Elastography findings of encapsulated solid papillary carcinoma of breast in a man.

    abstract::Encapsulated solid papillary carcinoma (ESPC) is one of the malignant papillary lesions and classified it as ductal carcinoma in situ. Radiologic features of ESPC have been reported in the literature many times. However, to our best knowledge US elastography findings of ESPC have not been reported in the published lit...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-1904

    authors: Başara Akın I,Özgül HA,Gürel D,Aksoy SÖ,Balcı P

    更新日期:2019-11-24 00:00:00

  • The role of shear wave elastography in the diagnosis of chronic autoimmune thyroiditis.

    abstract:AIMS:The aim of this study is to assess the applicability of shear wave elastography (SWE) in the diagnosis of chronic autoimmune thyroiditis (CAT) patients. MATERIAL AND METHODS:The study group consisted of 50 patients with first-diagnosed CAT and 40 control subjects (CS). In all patients with CAT and CS, sonoelastog...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu.2013.2066.173.khu

    authors: Hekimoglu K,Yildirim Donmez F,Arslan S,Ozdemir A,Demir C,Yazici C

    更新日期:2015-09-01 00:00:00

  • Visibility of MRI prostate lesions on B-mode transrectal ultrasound.

    abstract:AIM:Prostate biopsies are usually done with transrectal ultrasound (TRUS) in B-mode (B TRUS) but multiparametric MRI (mpMRI) is the gold imaging standard for the visualization of clinically significant prostate cancer (PCa), since a lowPCa detection rate is reported for B TRUS. The aim of this study was to assess the v...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-1602

    authors: Steinkohl F,Luger AK,Pichler R,Bektic J,Rehder P,Lebovici A,Aigner F

    更新日期:2018-12-08 00:00:00

  • Lower urinary tract obstruction in male children - a report of three cases.

    abstract::Urinary retention in young children and infancy is relatively rare. The commonest malignancy cause of bladder outlet obstruction in infancy is prostatic rhabdomyosarcoma; the commonest cause of congenital bladder outlet obstruction in a male infantis posterior urethral valve and the commonest cause of urethral obstruc...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu.2013.2066.183.lyn

    authors: Lynser D,Marbaniang E,Khongsni P

    更新日期:2016-09-01 00:00:00

  • Budd-Chiari syndrome as an initial presentation of hepatocellular carcinoma: a case report.

    abstract::We report the case of a 84-year-old admitted with symptoms of congestive heart failure. Ultrasonography revealed a hyperechoic nodule in the left lobe of the liver, with a peripheral hypoechoic rim, multiple irregular hypoechoic nodules in both hepatic lobes, portal vein, inferior vena cava, and right atrium thrombosi...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu.201.3.2066.162.lab1

    authors: Bălăceanu LA,Diaconu CC,Aron G

    更新日期:2014-06-01 00:00:00

  • Liver stiffness increases in patients with severe pericardial effusion, especially in the presence of cardiac tamponade.

    abstract:AIMS:Liver stiffness (LS) is associated with central venous pressure and pericardial effusion (PE) may be associated with these increased pressures. The aim of this study was to investigate the change in LS obtained by liver elastography (LE) in patients with severe PE and its usefulness for the diagnosis of cardiac ta...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu-2295

    authors: Koca H,Koc AS,Sumbul HE,Koc M

    更新日期:2020-05-11 00:00:00

  • The effectiveness of power Doppler vocal fremitus imaging in the diagnosis of breast hamartoma.

    abstract:OBJECTIVES:To evaluate the usefulness of power Doppler vocal fremitus (PDVF) breast sonography for differentiation of hamartomas from other breast (malign or benign) masses. MATERIAL AND METHODS:Two hundred and six breast masses in 180 women were evaluated. The breast lesions were scanned first by mammography (MG), th...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu.2013.2066.163.sy1

    authors: Yildiz S,Bakan AA,Aydın S,Kadıoglu H,Serter A,Bilgin S,Alkan A

    更新日期:2014-09-01 00:00:00

  • Pentalogy of Cantrell associated with exencephaly and spinal dysraphism: antenatal ultrasonographic diagnosis. Case report.

    abstract::The pentalogy of Cantrell, a rare syndrome, consists of the defects in the anterior diaphragm, diaphragmatic pericardium, lower sternum and supraumbilical abdominal wall, along with congenital cardiac abnormalities. Till date, only few patients with full spectrum of this syndrome have been reported with only 2 cases s...

    journal_title:Medical ultrasonography

    pub_type: 杂志文章

    doi:10.11152/mu.2013.2066.153.mbk1vkp2

    authors: Kachare MB,Patki VK,Saboo SS,Saboo SH,Ahlawat K,Saboo SS

    更新日期:2013-09-01 00:00:00