The Difference of Variceal Distribution in the Portal Hypertension on CT between Hemorrhagic and Nonhemorrhagic Groups.
10.3348/jkrs.1997.36.5.807
- Author:
Hwa Yeon LEE
1
;
Seung Min YOO
;
Sang Joon LIM
;
Jong Beum LEE
;
Yang Soo KIM
;
Young Hee CHOI
;
Yun Sun CHOI
Author Information
1. Department of Radiology, Chung-Ang University College of Medicine.
- Publication Type:Original Article
- Keywords:
Esophagus, varices;
Hypertension, portal;
Veins, CT
- MeSH:
Esophageal and Gastric Varices;
Hemorrhage;
Humans;
Hypertension, Portal*;
Retrospective Studies;
Splenorenal Shunt, Surgical;
Tomography, X-Ray Computed;
Varicose Veins
- From:Journal of the Korean Radiological Society
1997;36(5):807-812
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To determine whether there is any difference in variceal distribution between patients with and without a history of esophageal variceal bleeding. MATERIALS AND METHODS: To compare the distribution of varices, abdominal CT scans of 24 patients with a history of esophageal variceal bleeding (hemorrhagic group) and 90 patients without a history of bleeding (non-hemorrhagic group) were retrospectively assessed. RESULTS: The most common varices in both the hemorrhagic (n = 21, 87.5 %) and nonhemorrhagic group (n = 53, 58.9 %) were coronary varices, with a statistically significant frequency (p < .01). Esophageal varices were also more common in the hemorrhagic than the nonhemorrhagic group (n=19, 79.2 % vs n = 36, 40.0 % : P < .005). Splenorenal shunts were more common in the nonhemorrhagic (n = 8, 8.9 %) than in the hemorrhagic group(n = 0, 0 %) (P < .05). Other types of varice such as paraumbilical (n = 10, 41.7 % vs n = 21, 23.3 %), perisplenic (n = 6, 25 % vs n = 15, 16.7 %) and retroperitoneal-paravertebral (n = 11, 45.8 % vs n = 24, 26. 7 %) were more common in the hemorrhagic group, but without a statistically significant frequency. CONCLUSION: The frequency of coronary and esophageal varices was significant in patients with a history of esophageal variceal bleeding. In patients without such a history, splenorenal shunts were seen.
