Skip to main content

Advertisement

SpringerLink
Log in

Mesure endoscopique de la pression dans les varices œsophagiennes du cirrhotique: Corrélation avec la pression portale

Endoscopic measurement of the pressure in the oesophageal varices of cirrhotic patients. Correlation with portal pressure

  • Published:
Acta Endoscopica

Résumé

Les auteurs rapportent une étude de corrélation entre la pression portale et la pression intra-variqueuse chez 30 patients cirrhotiques avec hypertension portale. Les mesures ont été effectuées par ponction directe per-endoscopique des varices et au cours d’une angiographie sus-hépatique. Une corrélation positive est observée entre la pression dans les varices et la pression sinusoïdale corrigée, ð l’exception des patients étudiés au décours d’une hémorragie digestive sur rupture de varices. Ils mettent également en évidence un gradient de pression au long des colonnes variqueuses. Ils discutent les résultats obtenus sur base de la sélection des patients et de critères non retenus dans leur série pour tenter de définir la relation hypertension portale - risque hémorragique sur rupture de varice.

Summary

The authors present a study of the correlation between portal pressure and the intra-varicose pressure in 30 patients suffering from cirrhosis with portal hypertension. The measurements were carried out by direct puncture in endoscopy of the varices and during the course of a sub-hepatic angiography. A positive correlation was observed between the pressure in the varices and the corrected sinusoidal pressure with the exception of patients studied in the course of digestive hemorrhage with rupture of the varices. They also show a gradient of pressure along the varicose columns. They discuss the results obtained on the basis of a selection of patients and other criteria not retained in their series in an attempt to define the relationship between portal hypertension and risk of hemorrhage with rupture of the varices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

RÉfÉrences

  1. ADAMSON R.J., BUTT K., DENNIS C.et al.- Prognostic significance of portal pressure in patients with bleeding oesophageal varices.Surg. Gynecol. Obstet., 1977,145, 353- 356.

    Google Scholar 

  2. BACKER L.A., SMITH C., LIEBERMAN G. —A natural history of oesophageal varices.Am. J. Med., 1959,26, 228- 236.

    Article  Google Scholar 

  3. BENHAMOU J.P. -In: « Variceal bleeding ». Editeb by WESTABY D., MACDOUGALL B.R.D., WILLIAMS R., London: Pitman, 1982, 13–9.

    Google Scholar 

  4. BLENDIS L.M., ORREGO H., CROSSLEY I.R., BLACKE J.E., MEDLINE A., ISRAEL Y. - The role of hepatocyte enlargement in hepatic pressure in cirrhotic and non cirrhotic alcoholic liver disease.Hepatology, 1982,2, 539–546.

    Article  PubMed  CAS  Google Scholar 

  5. BOYER T.D., TRIGGER D.R., HORISAWA M., REDEKER A.G., REYNOLDS T.B.- Direct transhepatic measurement of portal vein pressure using a thin needle. Comparison with wedge hepatic vein pressure.Gastroenterology, 1977,72, 584–589.

    PubMed  CAS  Google Scholar 

  6. BURCHARTH F., SORENSEN T.I.A., ANDERSON B. - Findings in percutaneous transhepatic portography and variceal bleeding in cirrhosis.Surg. Gynecol. Obset., 1980,150, 887–890.

    CAS  Google Scholar 

  7. DAGRADI A.E. - The natural history of oesophageal varices in patients with alcoholic liver cirrhosis. An endoscopic and clinical study.Am. J. Gastroenterol., 1972,57, 520–540.

    PubMed  CAS  Google Scholar 

  8. DAWSON J.L. - Oesophageal varices: curiosities.Br. Med. J., 1983,286, 826.

    Article  CAS  Google Scholar 

  9. DE REUCK M., DE VOS A., BURETTE A., KADENDE P., DELTENRE M. - Hypertension portale (HTP) : corrélation laparoscopie -œsogastroscopie. Abstracts of the IV european congress of gastro-intestinal endoscopy (ESGE), 1980, 101.

  10. DOFFOEL M., BRANDT C.M., FINCKER J.L., BOCKEL R. - Relation entre hypertension portale, ascite, varices œsogastriques et hémorragie digestive au cours de la cirrhose alcoolique.Gastroentérol. Clin. Biol., 1980,4, 376–382.

    PubMed  CAS  Google Scholar 

  11. ECKHARDT V.F., GRACE N.D. - Gastro-oesophageal reflux and bleeding oesophageal varices.Gastroenterology, 1979,76, 39–42.

    Google Scholar 

  12. JOLY J.G., MARLEAU D., LEGARE A.et al.- Bleeding from oesophageal varices in cirrhosis of the liver. Hemodynamics and radiological criteria of the selection of potential bleeders through hepatic and umbilical portal catheterization studies.Can. Med. Ass. J., 1971,104, 576- 580.

    PubMed  CAS  Google Scholar 

  13. KROOK H. - Circulatory studies in liver cirrhosis.Acta Med. Scand. (suppl.), 1957,318, 55–65.

    Google Scholar 

  14. LEBREC D., KOTELANSKI B., COHN J.N. - Splanchnic hemodynamics in cirrhotic patients with oesophageal varices and gastro-intestinal bleeding.Gastroentorology, 1976,70, 1108–1111.

    CAS  Google Scholar 

  15. LEBREC D., DEFLEURY P., RUEFF B.et al.- Portal hypertension, size of oesophageal varices and risk of gastrointestinal bleeding in alcoholic cirrhosis.Gastroenterology, 1980,79, 1139–1144.

    PubMed  CAS  Google Scholar 

  16. MAILLARD J.M., FLAMMANT Y. - «Traitement d’urgence des hémorragies digestives chez le cirrhotique » dans « Le foie en anesthésie et en réanimation ». Société française d’anesthésie, d’analgésie et de réanimation. Tome 2, 1979, 197–203.

    Google Scholar 

  17. ORLOFF M.J., THOMAS H.S. - Pathogenesis of oesophageal varix rupture. A study based on gross and microscopic examination of the oesophagus at the time of bleeding.Arch. Surg., 1963,87, 301–307.

    PubMed  CAS  Google Scholar 

  18. PALMER E.D. - Determination of venous pressure within oesophageal varices.Jama, 1951,147, 570–571.

    CAS  Google Scholar 

  19. PALMER E.D., BRICK I.B. - Correlation between the severity of oesophageal varices in portal cirrhosis and their propensity toward hemorrhage.Gastroenterology, 1956,30, 85–90.

    PubMed  CAS  Google Scholar 

  20. PONCE J., FROUCH A., DELA MORENA E.et al.- Morphometric study of the oesophageal mucosa in cirrhotic patients with variceal bleeding.Hepatology, 1981,1, 641–646.

    Article  PubMed  CAS  Google Scholar 

  21. REDING P., FRERE D., GRIVEGNEE A. - Variation de pression portale et œsophagienne lors de toux et de la manœuvre de Valsalva chez le cirrhotique. Ve Symposium Intal d’endoscopic digestive. Bruxelles, avril 1982.

  22. REYNOLDS T.B., REDEKER A.G., GELLER H.M. - Wedged hepatic venous pressure. A clinical evaluation.Am. J. Med., 1957,22, 341–350.

    Article  PubMed  CAS  Google Scholar 

  23. REYNOLDS T.B. - « Why do varices bleed ? »in « Variceal bleeding ». Edited by Westaby D., Mac Dougall B.D.R., Williams R., Pitman, 1982, 3–12.

  24. ROSE J.D.R. - Caughing and variceal bleeding (correspondence).Br. J. Surg., 1983,70, 697.

    Article  PubMed  CAS  Google Scholar 

  25. SIMERT G., LUNDERQUIST A., TYLEN U.et al.- Correlation between percutaneous transhepatic portography and clinical findings in 56 patients with portal hypertension.Acta Chir. Scand., 1978,144, 27–34.

    PubMed  CAS  Google Scholar 

  26. SMITH-LAING G., CAMMILLO M.E., DICK R.et al.- Percutaneous transhepatic portagraphy in the assessment of portal hypertension. Clinical correlation and comparison of radiographic techniques.Gastroenterology, 1980,78, 197- 205.

    PubMed  CAS  Google Scholar 

  27. VIALLET A., MARLEAU D., HUET M.et al.- Hemodynamic evaluation of patients with intra-hepatic portal hypertension. Relationship between varices and the portosystemic gradient.Gastroenterology, 1975,69, 1297–1300.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinique de gastroentérologie Hôpital Universitaire Brugmann - U.L.B., Bruxelles, Belgique

    M. De Reuck, A. Burette, M. Van Gossum & M. Deltenre

  2. Service de radiologie Hôpital Universitaire Brugmann - U.L.B., Bruxelles, Belgique

    N. Dumont

  3. Service de médecine interne Hôpital Universitaire Brugmann - U.L.B., Bruxelles, Belgique

    F. Collart

Authors
  1. M. De Reuck
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Burette
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Van Gossum
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. N. Dumont
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. F. Collart
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M. Deltenre
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

De Reuck, M., Burette, A., Van Gossum, M. et al. Mesure endoscopique de la pression dans les varices œsophagiennes du cirrhotique: Corrélation avec la pression portale. Acta Endosc 14, 121–127 (1984). https://doi.org/10.1007/BF02966103

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02966103

Motsclés

Keywords

Search

Navigation