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Correlation of Major Scan Findings and Esophageal Varices in Liver Cirrhosis

Journal Article:

Abstract

In an endeavor to help understand some typical scan findings and portal hemodynamics in liver cirrhosis, several commonly occurring scan changes and esophageal varices as demonstrated by esophagram were correlated one another from quantitative and qualitative stand points. Clinical materials consisted of 34 patients with proven diagnosis of liver cirrhosis and esophageal varices. Liver scan was performed with colloidal 198-Au and the changes in the size and internal architecture of the Liver, splenic uptake and splenomegaly were graded and scored by repeated double-blind readings. The variceal changes on esophagrams were also graded according to the classification of Shanks and Kerley following modification. Of 34 patients, 91% showed definite reducing in liver volume(shrinkage) constituting the most frequent scan change. The splenic uptake and splenomegaly were noted in 73.5 and 79.4%, respectively. The present study revealed no positive correlation between the graded scan findings including shrinkage of the liver, splenic uptake or splenomegaly and severity of variceal changes of the esophagus. Exceptionally, however, apparently paradoxical correlation was noted between the severity of mottling and varices. Thus, in the majority(73.5%) of patients mottling were either absent or mild. This interesting observation is in favor of the view held by Christie et al. who  More>>
Authors:
Ahn, J S; Bahk, Y W; Lim, J L [1] 
  1. Catholic University College of Medicine, Seoul (Korea, Republic of)
Publication Date:
Mar 15, 1970
Product Type:
Journal Article
Resource Relation:
Journal Name: Korean Journal of Nuclear Medicine; Journal Volume: 4; Journal Issue: 1
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CORRELATIONS; DIAGNOSIS; ESOPHAGUS; LIVER CIRRHOSIS; PATIENTS; SPLENOMEGALY; UPTAKE; BODY; DIGESTIVE SYSTEM; DIGESTIVE SYSTEM DISEASES; DISEASES; ORGANS; PATHOLOGICAL CHANGES; SYMPTOMS
OSTI ID:
21374455
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 1225-6714; TRN: KR1003423104909
Submitting Site:
KRN
Size:
page(s) 37-42
Announcement Date:
Dec 22, 2010

Journal Article:

Citation Formats

Ahn, J S, Bahk, Y W, and Lim, J L. Correlation of Major Scan Findings and Esophageal Varices in Liver Cirrhosis. Korea, Republic of: N. p., 1970. Web.
Ahn, J S, Bahk, Y W, & Lim, J L. Correlation of Major Scan Findings and Esophageal Varices in Liver Cirrhosis. Korea, Republic of.
Ahn, J S, Bahk, Y W, and Lim, J L. 1970. "Correlation of Major Scan Findings and Esophageal Varices in Liver Cirrhosis." Korea, Republic of.
@misc{etde_21374455,
title = {Correlation of Major Scan Findings and Esophageal Varices in Liver Cirrhosis}
author = {Ahn, J S, Bahk, Y W, and Lim, J L}
abstractNote = {In an endeavor to help understand some typical scan findings and portal hemodynamics in liver cirrhosis, several commonly occurring scan changes and esophageal varices as demonstrated by esophagram were correlated one another from quantitative and qualitative stand points. Clinical materials consisted of 34 patients with proven diagnosis of liver cirrhosis and esophageal varices. Liver scan was performed with colloidal 198-Au and the changes in the size and internal architecture of the Liver, splenic uptake and splenomegaly were graded and scored by repeated double-blind readings. The variceal changes on esophagrams were also graded according to the classification of Shanks and Kerley following modification. Of 34 patients, 91% showed definite reducing in liver volume(shrinkage) constituting the most frequent scan change. The splenic uptake and splenomegaly were noted in 73.5 and 79.4%, respectively. The present study revealed no positive correlation between the graded scan findings including shrinkage of the liver, splenic uptake or splenomegaly and severity of variceal changes of the esophagus. Exceptionally, however, apparently paradoxical correlation was noted between the severity of mottling and varices. Thus, in the majority(73.5%) of patients mottling were either absent or mild. This interesting observation is in favor of the view held by Christie et al. who consider the mottlings to be not faithful expression of actual scarring of the cirrhosis liver. This also would indicate that variceal changes are to be the results of intrahepatic arteriovenous shunting of blood with hypervolemic load to the portal system rather than simple hypertension secondary to fibrosis and shrinkage.}
journal = {Korean Journal of Nuclear Medicine}
issue = {1}
volume = {4}
place = {Korea, Republic of}
year = {1970}
month = {Mar}
}