Advertisement

Surgical Endoscopy

, Volume 1, Issue 3, pp 165–167 | Cite as

Sonographic evaluation of the portal venous system after elective endoscopic sclerotherapy of esophageal varices

  • G. C. Caletti
  • E. Brocchi
  • Lorena Zani
  • L. Bolondi
  • M. Baraldini
  • V. Rollo
  • L. Barbara
Original Articles

Summary

In order to evaluate possible changes in the portal venous system after endoscopic sclerosis of esophageal varices, 25 cirrhotic patients underwent abdominal ultrasonography before the first session of sclerotherapy and after eradication of esophageal varices had been achieved. The caliber of the portal, splenic, and superior mesenteric veins was measured sonographically in each case. Sonographic results were compared statistically before and after sclerotherapy. Neither evidence of significant variations in the caliber of the portal veins nor thrombotic obliteration was seen. These results support the view that sclerotherapy has no significant negative side effects on the portal venous system.

Key words

Endoscopic sclerotherapy Portal hypertension Ultrasonography Esophageal varices 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bolondi L, Gandolfi L, Arienti V, Caletti GC, Corcioni E, Gasbarrini G, Labó G (1982) Ultrasonography in the diagnosis of portal hypertension: diminished response of portal vessels to respiration. Radiology 1: 167–172Google Scholar
  2. 2.
    Bolondi L, Mazziotti A, Arienti V, Casanova P, Gasbarrini G, Cavallari A, Bellusci R, Gozzetti G, Possati L, Labó G (1984) Ultrasonographic study of portal venous system in portal hypertension and after portosystemic shunt operations. Surgery 95: 261–269Google Scholar
  3. 3.
    Lafortune M, Marleau D, Breton G, Viallet A, Lavoie P, Huet PM (1984) Portal venous system measurements in portal hypertension. Radiology 151: 27–30Google Scholar
  4. 4.
    MacDougall BRD, Theodossi A, Westaby D, Dawson JL, Williams R (1982) Increased long-term survival in variceal haemorrhage using injection sclerotherapy — results of a controlled trial. Lancet I: 124–127Google Scholar
  5. 5.
    Papadimos D, Kerlin P, Harris OD (1986) Endoscopic sclerotherapy: lessons from a necropsy study. Gastrointest Endosc 32: 269–273Google Scholar
  6. 6.
    Paquet KJ (1982) Prophylactic endoscopic sclerosing treatment of the esophageal wall in varices — a prospective controlled randomized trial. Endoscopy 14: 4–5Google Scholar
  7. 7.
    Pristauts H, Schreiber F, Petritsch W, Eber B, Sommergutter M, Stauber R (1986) Comparative sonographic examination of the portal venous system before and after endoscopic sclerotherapy. Wien Med Wochenschr 136: 540–543Google Scholar
  8. 8.
    Pugh RNH, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R (1973) Transection of the esophagus for bleeding esophageal varices. Br J Surg 60: 646–651Google Scholar
  9. 9.
    Subramanyam BR, Balthazar EJ, Lefleur RS, Horii SC, Hulnick H (1984) Portal venous thrombosis: correlative analysis of sonography, CT and angiography. Am J Gastroenterol 79: 773–776Google Scholar
  10. 10.
    Taylor KJW, Burns PN (1985) Duplex Doppler scanning in the pelvis and abdomen. Ultrasound Med Biol 11: 643–658Google Scholar
  11. 11.
    Terblanche J, Northover JMA, Bornman P (1979) A prospective controlled trial of sclerotherapy in the long-term management of patients after esophageal variceal bleeding. Surg Gynecol Obstet 148: 323–333Google Scholar
  12. 12.
    Weinreb J, Kumari S, Phillips G, Pochaczevsky R (1982) Portal vein measurements by real-time sonography. Am J Roentgenol 139: 497–499Google Scholar
  13. 13.
    Westaby D, MacDougall BRD, Melia WM, Theodossi A, Williams R (1983) A prospective randomized study of two sclerotherapy techniques for esophageal varices. Hepatology 5: 681–684Google Scholar
  14. 14.
    Witzel L, Wolbergs E, Merki H (1985) Prophylactic endoscopic sclerotherapy of esophageal varices — a prospective controlled study. Lancet I: 773–775Google Scholar
  15. 15.
    Zoli M, Dondi C, Marchesini G, Cordiani MR, Melli A, Pisi E (1985) Splanchnic vein measurements in patients with liver cirrhosis. J US Med 4: 641–646Google Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • G. C. Caletti
    • 1
  • E. Brocchi
    • 1
  • Lorena Zani
    • 1
  • L. Bolondi
    • 1
  • M. Baraldini
    • 1
  • V. Rollo
    • 1
  • L. Barbara
    • 1
  1. 1.Department of Medicine and GastroenterologyUniversity of BolognaBolognaItaly

Personalised recommendations