Study of Multi-slice CT Portography Imaging in the Diagnosis and Evaluation of Esophageal and Gastric Varices in Cirrhosis Patients_West China Medical Journal

Authors：

 LIUGui-an , CHENSi-yu , ZHAOShi-zhong

Department of Radiology, People's Hospital of Meishan City, Meishan, Sichuan 620010, P. R. China;

Corresponding author：

Keywords：

Multi-slice CT portography; Digestive endoscopy; Cirrhosis; Esophageal and gastric varices; Diagnosis

DOI：

10.7507/1002-0179.20140458

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Objective To study the application value of multi-slice CT portography (MSCTP) in the diagnosis and evaluation of esophageal and gastric varices (EGV) caused by cirrhosis. Methods Patients with cirrhosis diagnosed between September 2009 and December 2012 were screened in this study. And the consistency of MSCTP and digestive endoscopy in the diagnosis, classification and grading of EGV in cirrhosis were evaluated. Results A total of 78 patients were included in this study, and there were 55 patients with EGV diagnosed by endoscopy, including 35, 16 and 4 patients with GOV1, GOV2 and IGV1 respectively by Satin type standards; and the number of patients with mild, moderate and severe EGV by general grading standards was 2, 15, and 37, respectively. In this cohort, the findings of MSCTP examination also showed that 58 patients had EGV, including 36, 17, 4 and 1 patients with GOV1, GOV2, IGV1 and IGV2 by Satin type standards; and the number of patients with grade I,Ⅱ andⅢ EGV by Kim grading standards was 5, 16 and 37, respectively. Statistical analysis showed that there was a high consistency between endoscopy and MSCTP in the diagnosis (Kappa=0.712, P=0.000), typing (Kappa=0.732, P=0.000) or grading (Kappa=0.863, P=0.000) of EGV. Conclusion MSCTP has a high application value in the diagnosis and severity evaluation of EGV in patients with cirrhosis.

Citation： LIUGui-an, CHENSi-yu, ZHAOShi-zhong. Study of Multi-slice CT Portography Imaging in the Diagnosis and Evaluation of Esophageal and Gastric Varices in Cirrhosis Patients. West China Medical Journal, 2014, 29(8): 1494-1496. doi: 10.7507/1002-0179.20140458 Copy

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9.	尚瑞莲. 超声内镜对门脉高压食管胃静脉曲张的评价及其引导下治疗现状[J]. 中华消化病与影像杂志·电子版, 2012, 2(1):58-61.
10.	喻健玲, 刘亚军. CT门静脉造影对食管胃静脉曲张出血的应用价值[J]. 中华医学杂志, 2009, 89(32):2283-2285.
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13.	宋兵, 李彩英, 刘增品, 等. 胃左静脉MSCTA预测肝硬化门静脉高压食管胃底静脉曲张破裂岀血的价值[J]. 临床放射学杂志, 2011, 30(7):979-983.

1. Wittenburg H, Tennert U, Berg T. Complications of liver cirrhosis[J]. Internist (Berl), 2011, 52(9):1061-1072.
2. 刘浔阳. 肝硬化门静脉高压症患者出血的预防与治疗[J]. 中华肝脏外科手术学电子杂志, 2013, 2(2):131-132.
3. 中华医学会消化内镜学分会食管胃静脉曲张学组. 消化道静脉曲张及出血的内镜诊断和治疗规范试行方案(2009年)[J]. 中国继续医学教育, 2010, 27(6):21-26.
4. 吴柳, 范竹萍, 顾海燕, 等. 多层螺旋CT检查在肝硬化患者食管静脉曲张诊断和分级中的价值[J]. 胃肠病学, 2009, 14(1):12-15.
5. 朱康顺, 孟晓春, 张健生, 等. 门静脉高压症胃静脉曲张的多层螺旋CT诊断及血流动力学研究[J]. 中华医学杂志, 2007, 87(46):3251-3255.
6. 吕卓珍, 张春清. 多层螺旋CT门静脉成像评价门脉高压侧支循环研究进展[J]. 医学影像学杂志, 2010, 20(3):447-449.
7. 孙鹏, 贺永斌, 李佳睿, 等. 多层螺旋CT门静脉成像在临床中的应用[J]. 中国普外基础与临床杂志, 2010, 17(12):1318-1321.
8. 项时昊, 谢平坤, 李访贤, 等. 胃镜、多层螺旋CT及食管钡餐诊断食管静脉曲张比较[J]. 中国医师进修杂志, 2012, 35(34):68-69.
9. 尚瑞莲. 超声内镜对门脉高压食管胃静脉曲张的评价及其引导下治疗现状[J]. 中华消化病与影像杂志·电子版, 2012, 2(1):58-61.
10. 喻健玲, 刘亚军. CT门静脉造影对食管胃静脉曲张出血的应用价值[J]. 中华医学杂志, 2009, 89(32):2283-2285.
11. 高勇, 唐笑先, 师建强, 等. 多层螺旋CT门静脉成像对肝硬化门脉高压侧支循环的诊断价值[J]. 实用医技杂志, 2012, 19(10):1016-1018.
12. 何欣, 黄仲奎, 龙莉玲, 等. 肝硬化并食管静脉曲张多层螺旋CT门静脉成像的临床应用[J]. 实用放射学杂志, 2012, 28(11):1707-1711.
13. 宋兵, 李彩英, 刘增品, 等. 胃左静脉MSCTA预测肝硬化门静脉高压食管胃底静脉曲张破裂岀血的价值[J]. 临床放射学杂志, 2011, 30(7):979-983.

West China Medical Journal

Study of Multi-slice CT Portography Imaging in the Diagnosis and Evaluation of Esophageal and Gastric Varices in Cirrhosis Patients

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