The Splenic Size (Antero-Posterior Diameter) & Portal Vein Diameter as Noninvasive Tool: For Identification Size of Oesophageal Varices in Cirrhosis of Liver

Title: The Splenic Size (Antero-Posterior Diameter) & Portal Vein Diameter as Noninvasive Tool: For Identification Size of Oesophageal Varices in Cirrhosis of Liver

Authors: Dr Mohammed Salahuddin Shahed Chowdhury, Prof. Mamun AL Mahtab, Dr Md. Ayub Al Mamun, Dr Fatima Sadia

DOI: https://dx.doi.org/10.18535/jmscr/v7i10.21

Abstract

Objective: In this study our main goal is to evaluate the splenic size (antero-posterior diameter) & portal vein diameter as noninvasive tool: for identification size of oesophageal varices in cirrhosis of liver.

Methodology: This Cross-sectional comparative study conducted at the Department of Hepatology Bangabhandhu Sheikh Mujib Medical University (BSMMU) from Jan 2010 to Dec 2011 where 50 Patients with cirrhosis of liver attending the department of Hepatology, BSMMU were included as a population in this study.

All the data was checked and edited after collection. It was expressed as Mean and SD. Data has been analyzed by ANOVA. p value of less than 0.05 was considered statistically significant. Statistical analysis was done by using SPSS-15 (Statistical package for social sciences) win version 15 software programme.

Results: During the study, where the highest frequency of cirrhosis patients was found at Child-Pugh Class C (Frequency 22). Where mean of portal vein diameter was 11.7200 mm in diameter. Also, one-way ANOVA test to asses relation of portal vein diameter with different grades of Oesophageal varices (Bonferoni) was done but the results were not significant (P values were >0.05).

Conclusion: from our result we can conclude that, if ultrasonographically measured portal vein diameter and antero-posterior splenic measurement can predict the size of oesophageal varices in patients with cirrhosis in our population and could be used as a predictor of large size varices. Analysis showed that there was no significant difference between mean portal vein diameter of different grades of oesophageal varices as well as with different mean of splenic anteroposterior measurement of different sizes of OV.

Keywords: Oesophageal varices, Portal vein diameter, Splenic length (antero-posterior).

References

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