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Research Paper | Radiological Sciences | India | Volume 12 Issue 7, July 2023
Role of Colour Doppler in Diagnosis of Portal Hypertension Among Cirrhotic Patients
Imran Khan [9] | Atik Ahmed
Abstract: Introduction: Portal hypertension is one of the most important causes of morbidity and mortality in cirrhotic patients. A colour Doppler evaluation has proven utility in the prediction of portal hypertension. Therefore, we aimed to determine the role of colour doppler in the diagnosis of Portal Hypertension among cirrhotic patients. Aim: To determine the role of colour doppler in the diagnosis of Portal Hypertension among cirrhotic patients. Methodology: In this cross - sectional study, sixty patients with a history of chronic alcoholism, features of cirrhosis and haematemesis and Melena were included in the study. A detailed clinico - demographical parameters were recorded. Liver and spleen were measured along with portal vein parameters. Modified child Pugh classification was used to classify the patient with respect to the severity of the liver disease. Results: Of 60 patients, most of the patients were males (73.3%) with a presenting symptom of volume shift (90%).93.3% of the patients had irregular liver surfaces observed on USG.81.7% had collaterals, and 46.7% of them were splenorenal. The majority of the patients had splenomegaly (78.3%). Portal vein parameters showed that most of the patients had portal vein diameter of >13mm, Hepatopetal direction, <12 cm/sec velocity, and congestion index of >0.1. Hepatic Vein Waveform was Biphasic in 40%, monophasic in 26.7%, and Triphasic in 11.7%. According to the child Pugh classification, 48.3% of the patients belonged to Grade A, 31.7% to Grade B and 20% to Grade C classification. A significant difference was noted in a hepatic artery (p<0.001*), splenic artery (p=0.024*), splenic vein diameter (p=0.042*) and spleen size (p=0.046*) with the severity of Cirrhosis. Conclusion: From the study, it can be concluded that Doppler Sonography is a reliable, non - invasive, and rapid diagnostic technique in portal hypertensive patients.
Keywords: Portal Hypertension, Colour Doppler USG, Child - Pugh, Cirrhosis
Edition: Volume 12 Issue 7, July 2023,
Pages: 1519 - 1525