Abstract
The aim of this work is to evaluate the role of Ultrasound-Doppler in the hemodynamic study of hepatic vessels during the liver cirrhosis in Togo. Method: This was an analytic cross-sectional study that measured the velocimetric parameters of hepatic vessels in cirrhotic patients and in non-cirrhotic patients. Results: The velocimetric parameters of the hepatic artery, the portal vein, and the hepatic veins were measured in 50 cirrhotic patients and 50 non-cirrhotic The caliber of the portal vein was significantly increased in cirrhotic patients compared to non-cirrhotic patients with 13.11 ± 2.16 mm versus 11.45 ± 1.02 (p < 0.00006). The systolic velocity and the hepatic artery resistance index were significantly raised in the cirrhotic patients compared to the non-cirrhotic with 67.32 ± 22.77 versus 49.97 ± 17.24 (p-value < 0.00004) respectively, and 0.78 ± 0.07 against 0.72 ± 0.08 (p < 0.00006). The caliber of the hepatic veins was significantly decreased in the cirrhotic patients compared to the non-cirrhotic patients (p < 0.0003). There was no correlation between the gender of the patients and the change in the hemodynamics of the hepatic vessels. Conclusion: The hemodynamic study of the hepatic vessels can and must rightly be a diagnostic argument for liver cirrhosis.
Highlights
The aim of this work is to evaluate the role of Ultrasound-Doppler in the hemodynamic study of hepatic vessels during the liver cirrhosis in Togo
The velocimetric parameters of the hepatic artery, the portal vein, and the hepatic veins were measured in 50 cirrhotic patients and 50 non-cirrhotic The caliber of the portal vein was significantly increased in cirrhotic patients compared to non-cirrhotic patients with 13.11 ± 2.16 mm versus 11.45 ± 1.02 (p < 0.00006)
We conducted this study to evaluate the Ultrasound-Doppler’s hemodynamic variations of the hepatic vessels during the liver cirrhosis in Togo. This was an analytic cross-sectional study that measured the velocimetric parameters of hepatic vessels of the patients treated in the Hepato-gastroenterology department of the Lomé University Hospital Center for the liver’s cirrhosis and of volunteers, non-cirrhotic, not having any known liver pathology and having a normal liver function
Summary
Cirrhosis is defined as a diffuse disorganization of the liver architecture, with. The standard diagnosis of cirrhosis is still histology [2]. This technique suffers from a fake negative rate of up to 24% [2]. Because of the lack of technical means and the limitations in the histology method within our regions, this diagnosis is based on a bundle of clinical, biological, and radiological arguments [3]. The main radiological method is the Doppler ultrasound
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