CHARACTERIZATION OF PORTAL HYPERTENSION IN GEZIRASTATE (SUDAN) USING ULTRASOUND

Abdal Gadir Yonis,Mona Ahmed,Al Safi Ahmed Abdallash,Ashraf Mustafa Mohammed Osman

doi:10.29121/granthaalayah.v7.i7.2019.711

Abstract

Peri-sinusoidal portal hypertension with frequent episodes of upper gastro intestinal variceal bleeding are hallmarks of hepatic-splenic schistosomiasis (Mansoni or Japonicum). This a prospective study compromise of 306 consecutive patients at North Gezira State between 2016 to 2019, aimed to characterize the portal hypertension &to minimize potentiallysevere and deadly complications. Using B-mode grayscale ultrasound, The images done by portable Sono- Scape- A6 machine using convex probe with frequency range from 3.5 to 5 MHz and the data analyzed by SPSS version 15.The result showed that the majority of patients were male and portal hypertension had high incidence associated with peri portal fibrosis(schistosomiasis), the result also showed that : out of 360 patients under study, there were 209(58.1%) had portal hypertension, 106(29.4%) had PPF, and 45(12.5%) were normal patients. The study concluded that the portable ultrasound machine is the most frequently used imaging modality to assess patients for the presence of portal hypertension especially in the endemic area.

Highlights

The liver is a large organ in the body that cleans the blood and produces bile which helps the body to deal with the fats we eat
Ultrasonography (US) is a non-invasive and inexpensive technique frequently used as first line examination in the diagnosis and follow-up of chronic hepatic diseases.US findings are usually highly specific, and can be considered sufficient to confirm the diagnosis G.H
This is a prospective study aimed to characterize the portal hypertension used B-mode grayscale ultrasound, compromise of 360,45 patient have normal liver, 209 patients have portal hypertension, and 106 patients have peri portal fibrosis .carried out in the period from January 2016 to 2019 in north Gazira state in Sudan and private clinic at Gebel Awlia city, Khartoum state requested abdominal US was done with prior explanation of the investigation and informed written consent of the patients .ultrasound done was performed on SonoScape- A6 portable machine using convex probe with frequency range from 3.5 to 5 MHz liver was scanned in various planes like transverse, sagittal, sub costal,obliges inter costal and coronal planes

Summary

Introduction

The liver is a large organ in the body that cleans the blood and produces bile which helps the body to deal with the fats we eat. The significant and the goal of the study will help in limiting the severity of portal hypertension to avoid the complication by detecting it in early stage as well as to decreased the morbidity and mortality and the risk factors, by characterized and assessed the liver and spleen morphology as well as the parameter in portal and splenic vein in the hepatic-splenic schistosomiasis choosing B-mode Gray scale ultrasound because its non-invasive methods and simple technique. (BaikSK et al 2014 & Baik 2010 and Yokosuka O, et al 2016) fundamental tissue images are available only using B-mode sonography The role of this simple technique for portal hypertension is to characterize cirrhosis, preiportal fibrosis measure vessel diameter and spleen size, and identify the ascites and abnormal collateral route. The role of this simple technique for portal hypertension is to characterize cirrhosis, preiportal fibrosis measure vessel diameter and spleen size, and identify the ascites and abnormal collateral route. (Pilette C, et al 1997 & Yokosuka O et al 2015)

Material and Methods

Result

Discussion

Findings

Conclusion