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To-and-fro waveforms in the left gastric vein in portal hypertension

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Abstract

Unusual to-and-fro waveforms were demonstrated in the left gastric vein on Doppler sonograms in four patients with liver cirrhosis. The patterns of the to-and-fro waveforms were diverse in each of the patients: both hepatopetal and hepatofugal flow occurred in a single waveform in case 1, changes in the flow direction with flow interruption were noted in case 2, and changes in flow direction without observation of flow interruption and changes after meals were noted in cases 3 and 4, respectively. These waveforms may represent a transitional phase during the development of a portal systemic shunt in patients with portal hypertension.

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Acknowledgment

This study is partially supported by the Health and Labour Sciences Research Grant from the Ministry of Health, Labour and Welfare Japan, regarding Research on intractable diseases, portal hemodynamic abnormalities.

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Authors and Affiliations

  1. Chiba Prefectural University of Health Sciences, 2-10-1 Wakaba, Mihama, Chiba, 261-0014, Japan

    Shoichi Matsutani

  2. Department of Gastroenterology, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, Chiba, 273-8588, Japan

    Hideaki Mizumoto

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  1. Shoichi Matsutani
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  2. Hideaki Mizumoto
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Correspondence to Shoichi Matsutani.

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Matsutani, S., Mizumoto, H. To-and-fro waveforms in the left gastric vein in portal hypertension. J Med Ultrasonics 39, 101–104 (2012). https://doi.org/10.1007/s10396-011-0329-4

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  • DOI: https://doi.org/10.1007/s10396-011-0329-4

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