Abstract
Purpose
Endoscopic color Doppler ultrasonography (ECDUS) is a method for obtaining color images of flow in blood vessels. In this study, we report the utility of a newer electronic radial ECDUS for evaluating cases with esophageal varices.
Methods
Nineteen patients with esophageal varices were selected. The ECDUS was performed using a Pentax EG-3670URK (forward-view) with a distal tip diameter of 12 mm. A Hitachi EUB 7500, which provides a 360° view, was used for display.
Results
The newer electronic radial ECDUS more clearly delineates images of vessels in patients with esophageal varices. We found two chief advantages over the old probe, i.e., it is easier to manipulate in the distal esophagus than the old probe and it produces 360° images instead of 60° or 270° images.
Conclusion
Forward-view optics and an extended 360° viewing angle enabled clear color flow images to be obtained from all cases of esophageal varices examined.
Similar content being viewed by others
References
Sato T, Higashino K, Toyota J, et al. The usefulness of endoscopic color Doppler ultrasonography in the detection of perforating veins of esophageal varices. Dig Endosc. 1996;8:180–3.
Sato T, Yamazaki K, Toyota J, et al. Perforating veins in recurrent esophageal varices after endoscopic therapy visualized by endoscopic color Doppler ultrasonography. Dig Endosc. 1999;11:236–40.
Sato T, Yamazaki K, Toyota J, et al. Evaluation of hemodynamics in esophageal varices: Value of endoscopic color Doppler ultrasonography with a galactose-based contrast agent. Hepatol Res. 2003;25:55–61.
Sato T, Yamazaki K, Toyota J, et al. Usefulness of electronic radial endoscopic color Doppler ultrasonography in esophageal varices: comparison with convex type. J Gastroenterol. 2006;41:28–33.
Caletti GC, Brocchi E, Baraldini M, et al. Assessment of portal hypertension by endoscopic ultrasonography. Gastrointest Endosc. 1990;36:21–7.
Kishimoto H, Sakai M, Kajiyama T, et al. Miniature ultrasonic probe evaluation of esophageal varices after endoscopic variceal ligation. Gastrointest Endosc. 1995;42:256–60.
Nagamine N, Ido K, Ueno N, et al. The usefulness of ultrasonic microprobe imaging for endoscopic variceal ligation. Am J Gastroenterol. 1996;91:523–9.
Senjyu S, Nishida H, Sakamoto M, et al. Endoscopic color Doppler ultrasonographic evaluation of recurrent esophagogastric varices following endoscopic injection sclerotherapy. Hepatol Res. 2003;26:174–80.
Hino S, Kakutani H, Ikeda K, et al. Hemodynamic analysis of esophageal varices using color Doppler endoscopic ultrasonography to predict recurrence after endoscopic treatment. Endoscopy. 2001;33:869–72.
McCormack TT, Rose JD, Smith PM, et al. Perforating veins and blood flow in oesophageal varices. Lancet. 1983;2:1442–4.
Choudhuri G, Dhiman RK, Agarwal DK. Endosonographic evaluation of the venous anatomy around the gastro-esophageal junction in patients with portal hypertension. Hepatogastroenterology. 1996;43:1250–5.
Irisawa A, Saito A, Obara K, et al. Endoscopic recurrence of esophageal varices is associated with the specific EUS abnormalities: severe periesophageal collateral veins and large perforating veins. Gastrointest Endosc. 2001;53:77–84.
Saihong Z, Xunyang L, Feizhou H, et al. Perforating veins—a parameter of recurrence of esophageal varices. Rom J Gastroenterol. 2003;12:119–21.
Shibukawa G, Irisawa A, Saito A, et al. Variceal recurrence after endoscopic sclerotherapy associated with the perforating veins in lower esophagus independently. Hepatogastroenterology. 2004;51:744–7.
Noda T. Angioarchitectural study of esophageal varices. Virchows Arch. 1984;404:381–92.
Hashizume M, Kitano S, Sugimachi K, et al. Three-dimensional view of the vascular structure of the lower esophagus in clinical portal hypertension. Hepatology. 1988;8:1482–7.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Sato, T., Yamazaki, K., Toyota, J. et al. Clinical experience with newer electronic radial-type endoscopic color Doppler ultrasonography in the diagnosis of esophageal varices. J Med Ultrasonics 37, 117–121 (2010). https://doi.org/10.1007/s10396-010-0262-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10396-010-0262-y