Characteristics of paraesophageal varices: A study with 64-row multidetector computed tomograghy portal venography

Li-Qin Zhao; Wen He; Guang Chen; Abraldes, Juan G.; Karabacakoglu, Aydin
September 2008
World Journal of Gastroenterology;9/14/2008, Vol. 14 Issue 34, p5331
Academic Journal
AIM: To identify the characteristics of morphology, location and collateral circulation involved in paraesophageal varices (para-EV) of portal hypertension patients with 64-row multidetector computed tomograghy (MDCT). METHODS: Fifty-two of 501 patients with portal hypertensive cirrhosis accompanied with esophageal varices were selected for 64-row MDCT examination after the observation of para-EV. The CT protocol included unenhanced, arterial and portal phases with a slice thickness of 0.625 mm and a scanning field of 2 cm above the bifurcation to the lower edge of kidney. The CT portal venography (CTPV) was reformatted on AW4.3 workstation. The characteristics of origination, location, morphology and collateral circulation in para-EV were observed. RESULTS: Among the 52 cases of para-EV, 50 showed the originations from the posterior branch of left gastric vein, while the others from the anterior branch. Fifty cases demonstrated their locations close to the esophageal-gastric junction, and the other two cases were extended to the inferior bifurcation of the trachea. The circuitous pattern was observed in 16 cases, while reticulated pattern was seen in 36 cases. Collateral circulation identified 4 cases of single periesophageal varices (peri-EV) communication, 3 cases of single hemiazygous vein, one case of single inferior vena cava, 41 cases of mixed type (collateral communications of at least 2 of above mentioned types) and 3 cases of undetermined communications. Among all the cases, 43 patients showed the communications between para-EV and peri-EV, while hemiazygous vein (43 cases) and inferior vena cava (5 cases) were also involved. CONCLUSION: Sixty-four-row multidetector computed tomograghy portal venography could display the location, morphology, origin, and collateral types of para-EV, which provides important and referable information for clinical management and disease prognosis.


Related Articles

  • Endoscopic injection sclerotherapy with ethanolamine oleate with iopamidol for esophagojejunal varices in idiopathic portal hypertension. Soga, Koichi; Tomikashi, Koichi; Miyawaki, Ki-ichiro; Okuda, Kotaro; Sugiyama, Yusuke; Sekikawa, Shuji; Wakabayashi, Naoki; Konishi, Hideyuki; Mitsufuji, Shoji; Kataoka, Keisho; Yoshikawa, Toshikazu // Digestive Diseases & Sciences;Jul2009, Vol. 54 Issue 7, p1592 

    The article presents a case study of 56-year-old Japanese man who has idiopathic portal hypertension (IPH). A computer tomography examination reveals occlusions of the portal vein stent and transjugular intrahepatic portosystemic shunt (TIPS). Tense and nodular esophagojejunal varices were also...

  • Beneficial effects of living-donor liver transplantation on esophageal varices. Kawaoka, Tomokazu; Takahashi, Shoichi; Aikata, Hiroshi; Azakami, Takahiro; Saneto, Hiromi; Takaki, Shintaro; Jeong, Soo Cheol; Asahara, Toshimasa; Ito, Katsuhide; Chayama, Kazuaki // Journal of Gastroenterology;2008, Vol. 43 Issue 12, p982 

    Liver transplantation (LT) is known to improve bleeding esophageal varices (EVs) and portal hypertension. However, many issues related to EVs after LT remain unresolved, such as whether LT reduces blood supply to EVs, improves the diameter of unruptured EVs, or improves or worsens EVs. The aim...

  • Anatomy and embryology of the small saphenous vein: nerve relationships and implications for treatment. Uhl, Jean-Fran├žois; Gillot, Claude // Phlebology;2/1/2013, Vol. 28 Issue 1, p4 

    The aim of this paper is to describe the anatomical relations of the small saphenous vein (SSV) in order to define the high-risk zones for the treatment of chronic venous disease. The SSV runs in the saphenous compartment demarcated by two fascia layers: a muscular fascia and a membranous layer...

  • HAEMODYNAMICS OF VARICOCELE-ANATOMICAL AND THE PHYSIOLOGICAL ASPECT. Shimpi, R. K. // Reproductive BioMedicine Online (Reproductive Healthcare Limited;Oct2010 S3 Supplemen, Vol. 20, pS33 

    Introduction: Varicocele, the abnormal dilatation and tortusity of spermatic chord veins, has a detrimental effect of spermatogenesis. The present study has been carried out to define the Anatomy of different venous plexuses in the Spermatic Cord, significance of the collateral veins and the...

  • Seeing is believing.  // Gut;Jul2008, Vol. 57 Issue 7, p975 

    The article compares two studies on esophageal capsule endoscopy and computerized tomographic (CT) scanning of esophageal varices. In a study of 288 patients, researchers found that an overall agreement for detecting oesophageal varices between oesophagogastroduodenoscopy (OGD) and capsule...

  • Three-dimensional modelling of the venous system by direct multislice helical computed tomography venography: technique, indications and results. Uhl, J. F. // Phlebology;Sep2012, Vol. 27 Issue 6, p270 

    The aim of multislice helical computed tomography venography (CTV) is to provide a precise, global and three-dimensional (3D) anatomical depiction of the venous network of the lower limbs. A multislice and multidetector spiral CT acquisition of the lower limbs with contrast injection of the...

  • The Role of Minimally Invasive Percutaneous Embolisation Technique in the Management of Bleeding Stomal Varices. Kwok, Albert; Wang, Frank; Maher, Richard; Harrington, Timothy; Gananadha, Sivakumar; Hugh, Thomas; Samra, Jaswinder // Journal of Gastrointestinal Surgery;Jul2013, Vol. 17 Issue 7, p1327 

    Introduction: Stomal varices can develop in patients with ostomy in the setting of portal hypertension. Bleeding from the stomal varices is uncommon, but the consequences can be disastrous. Haemorrhage control measures that have been described in the literature include pressure dressings, stomal...

  • Life-Threatening Bleeding from Peristomal Varices after Cystoprostatectomy: Multimodal Approach in a Cirrhotic, Encephalopathic Patient with Severe Portal Hypertension. Staubli, Sergej E. L.; Gramann, Tobias; Schwab, Christoph; Semela, David; Hechelhammer, Lukas; Engeler, Daniel S.; Schmid, Hans-Peter; Abt, Dominik; Mordasini, Livio // Case Reports in Urology;1/29/2015, Vol. 2015, p1 

    The bleeding of peristomal varices due to a portosystemic shunt is rare but potentially life-threatening in cirrhotic patients with portal hypertension. The scarce case reports in the literature recommend transjugular intrahepatic portosystemic shunt (TIPS) to prevent further bleeding. We report...

  • Multi-detector row computed tomography (MDCT) is useful for the diagnosis of rectal varices. Hayama, T.; Ishihara, S.; Nozawa, K.; Matsuda, K.; Watanabe, T. // Techniques in Coloproctology;Jun2012, Vol. 16 Issue 3, p265 

    The article focuses on the use of abdominal multi-detector row computed tomography (MDCT) in diagnosing of rectal varices.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics