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The main difference is oral ingestion of plain water to distend the stomach and gastric fundus, which is radiology for distinction between submucosal and perigastric fundal varices. On EUS, definite presence of perigastric varices score 5 was reported in all 22 patients. Contact Us Fundal varices of Use Copyright Accessibility Cookies. Functional Genomics Experiments Show all items. By using fundal commercially available PC program WinDose, version 2. Burtin P, Cales P, Oberti F, et al. MDCT angiography may become an important supplemental or alternative technique radiology clinical situations when EUS is varices available or is contradicted. Immediately prior to scanning, — fundal of plain water were administered orally to all patients. Endoscopic ultrasonography classification of gastric varices in patients with cirrhosis. Am J Gastroenterol radiology Diagnostic confidence with regard to the presence of submucosal fundal varices in 22 patients varices multi-detector row CT MDCT angiography and endoscopic ultrasound EUS. A diagnostic confidence score of 5 was also given for all 22 patients by all readers on MDCT angiograms.

Imagerie en coupes de l'estomac et du duodénum - EM|consulte


To standardise distention of the stomach, all patients in this study were asked to drink the water immediately prior to scanning while sitting on the table of the CT scanner. Arroyo V, Guevara M, Gines P. J K Willmann1 D Weishaupt1 T Böhm1 T Pfammatter1 B Seifert2 B Marincek1 and P Bauerfeind 3. Finally, radiology did not evaluate the impact fundal varices MDCT angiography on treatment of gastric fundal varices. Diseases Show all items. Chemicals Show all items. Protein Families Show all items. The exact incidence of fundal varices is unknown. Ito K, Blasbalg R, Hussain SM, et al.

Cho KC, Patel YD, Wachsberg RH, et al. In addition, a small number of patients were included in our study group. Another important limitation is the lack of a true diagnostic standard of reference for the presence of submucosal and perigastric fundal varices, such as a pathological correlation in all patients. Am J Dig Dis ; The afferent vessels of fundal varices include radiology left gastric, short gastric, and posterior gastric fundal varices. The following limitations of the study need to be addressed. Fundal varices have been increasingly recognised as a major cause of gastrointestinal bleeding in patients with portal hypertension. Coronal multiplanar reconstruction of Image reconstruction was performed with a slice thickness of 1. Cited by view all. Recurrent submucosal fundal varix in a 60 year old female with chronic thrombosis and cavernous transformation of the portal vein fundal varices a history of radiology fundal variceal bleeding with subsequent sclerosing therapy. Br J Surg ; The scanning range was planned starting from the distal third of the oesophagus and ending at the lower pole of the kidneys to encompass the whole extent varices radiology the stomach and to include the portal vein and its tributaries in the upper abdomen. Muhletaler C, Gerlock AJ Jr, Goncharenko V, et al. An important drawback of MDCT angiography for imaging fundal varices is fundal applied radiation dose inherent in this technique. Marshall JP iiSmith PD, Hoyumpa AM Jr. Hepatorenal syndrome in cirrhosis: On EUS, definite presence of perigastric varices score 5 was reported in all 22 patients. Species Show all items. All three readers were blinded to patient data, including clinical history, clinical findings, and results of EUS. This is even more important in patients with end stage liver cirrhosis as those patients often suffer from additional renal insufficiency. Imaging findings Contrast enhanced MDCT angiography was well tolerated, with no complications, by all 22 patients.

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Table 4 summarises the afferent and efferent fundal of submucosal fundal varices in 17 patients where submucosal fundal varices varices radiology present on MDCT angiography. Gress F, Schmitt C, Savides T, et al. Image reconstruction was performed with a slice thickness of 1. Splenoportography was performed in these four patients. J K Willmann1 D Weishaupt1 T Böhm1 T Pfammatter1 B Seifert2 B Marincek1 and P Bauerfeind 3. Hence it may be hypothesised that the fundal varices performance of MDCT angiography in the detection radiology submucosal fundal varices exceeds that of EUS. To standardise distention of the stomach, all patients in this study were asked to drink the water immediately prior to scanning while sitting on the table of the CT scanner. This may be of clinical and therapeutic relevance with regard to planning of alternative therapeutic strategies such as balloon occluded retrograde transvenous obliteration of gastric varices. Using endoscopy, submucosal fundal varices often fundal varices as mass-like nodular and tortuous winding elevations of the mucosa in the fundus. Currently, endoscopy and endoscopic ultrasound EUS are considered most useful for radiology purpose. The gastroenterologist interpreting the EUS was unaware of the MDCT angiographic findings. CitePeer Related Articles http:

In this patient, reader No 1 reported a submucosal fundal varix to be probably present and the two remaining readers to be definitely present. Multi-detector row CT Varices angiography is gaining increasing acceptance as a minimally invasive technique for imaging the abdominal vascular system. All three readers were radiology to patient data, including clinical history, clinical findings, and results of EUS. In addition, all three readers noted the presence of a fundal varix in an additional patient which was not detected on initial EUS. Either your web browser doesn't support Javascript or it is currently turned off. In our study, an effective dose of 4—5 mSv was calculated for both men and women. This article has been cited by other articles in PMC. To avoid erroneous measurements fundal variceal diameter due fundal tangential imaging, vessels were measured at a point where their cross section appeared circular. Varices was started radiology seconds later during the portal-venous phase of the contrast medium. Diagnostic confidence with varices radiology to the presence of submucosal fundal varices in 22 patients using multi-detector row CT MDCT angiography and endoscopic ultrasound EUS. Cho KC, Patel YD, Wachsberg RH, et al. Marshall JP iiSmith PD, Hoyumpa AM Jr. Either your web browser doesn't support Javascript or it is currently turned off. This is even fundal varices important in patients with end stage liver radiology as those patients often suffer from additional renal insufficiency. In each of these six patients, endoscopic guided sclerotherapy was performed fundal to inclusion in the study mean 87 days range 2— In radiology, this study has demonstrated for the first time varices MDCT angiography is equivalent to EUS in the detection and characterisation of fundal varices, in particular with regard to the distinction between submucosal and perigastric fundal varices. This article has been cited by other articles in PMC. Recurrent submucosal fundal varix in a 60 year old female with chronic thrombosis and cavernous transformation of the portal vein and a history of recent fundal variceal bleeding with subsequent sclerosing therapy. Finally, we did not evaluate the impact of MDCT angiography on treatment of gastric fundal varices. Water was used as fundal varices negative contrast agent to distend the stomach radiology improve visualisation of the gastric wall. Abstract Background and aim: Hosking SW, Johnson AG.

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MDCT angiography Varices MDCT angiograms were performed on a four channel MDCT scanner SOMATOM Volume Zoom; Siemens AG, Forchheim, Germany. Between October and January22 patients 16 males, six females; mean age 51 years range 21—74 with endoscopic fundal of fundal varices admitted to our institution varices radiology considered eligible for enrolment in this study. In this study, we demonstrated that MDCT angiography was capable of differentiating between submucosal radiology perigastric fundal varices which is of fundal clinical interest. Three independent radiologists experienced in cross sectional imaging reader Nos 1, 2 and 3 performed image analysis separately and in random order on the basis of transverse source images, MIPs, VRs, and MPRs. Recurrent submucosal fundal varix in a 60 year old female with chronic thrombosis and cavernous transformation of the portal vein and a history of recent fundal variceal bleeding with subsequent sclerosing therapy. As fundal patients with suspected "fundal" varices on varices and no control group were included in our study, this may have resulted in inclusion bias. Endoscopic ultrasonographic signs of portal hypertension in cirrhosis. In conclusion, "radiology" study has demonstrated for the first time that MDCT angiography is equivalent to EUS in the detection and characterisation of fundal varices, in particular with regard varices radiology the distinction between submucosal and perigastric fundal varices. Endoscopy ; 24 suppl 1: Boyce GA, Sivak MV Jr, Rosch T, et al. Abdom Imaging ;

Compared with EUS, a high correlation was obtained by all three independent readers who evaluated the MDCT angiograms for the presence of submucosal and perigastric fundal varices varices. The value of EUS in the management of portal hypertension. MDCT angiography is equivalent to EUS in terms of detection and characterisation of fundal varices, in particular with regard to the distinction radiology submucosal and perigastric fundal varices. The exact incidence of fundal varices is unknown. Balthazar EJ, Megibow A, Naidich D, et al. This may be of clinical and therapeutic relevance radiology regard to planning of alternative therapeutic strategies such as balloon occluded retrograde transvenous obliteration of gastric varices. Three independent radiologists experienced in cross sectional imaging reader Nos 1, 2 and 3 performed image analysis fundal varices and in random order on the basis of transverse source images, MIPs, VRs, and MPRs. Hosking SW, Johnson AG. To standardise distention of the stomach, all patients in this study were asked fundal drink the water immediately prior to scanning while sitting on the "varices radiology" of the CT scanner. In our series, MDCT angiography demonstrated residual submucosal fundal varices in all patients who had a history of prior endoscopic sclerotherapy. It includes content provided to the PMC International archive by participating publishers. CT-angiographic correlation of collateral venous pathways in isolated splenic vein occlusion: MDCT angiography may also be useful for assessment of the therapeutic effect of endoscopic sclerotherapy of fundal varices. Hosking SW, Johnson AG. AJR Am J Roentgenol ; In addition, a small number of patients were included in our study group. Hence a non-invasive imaging modality would be preferable in these high risk patients. In conclusion, this study has demonstrated for fundal varices first time that MDCT angiography is equivalent to EUS in the detection and characterisation of fundal varices, in particular with regard to the distinction between submucosal and perigastric fundal varices. The measurement of observer agreement for categorical data. To avoid erroneous measurements of variceal diameter due to tangential radiology, vessels were measured at a point where their cross section appeared circular. Technical parameters for the MDCT examinations were as fundal varices Liu JB, Miller LS, Feld RI, et al. The diagnosis of submucosal fundal varices is challenging. The authors thank Peter Roth for radiology figure 1.

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