The value of ultrasonography in assessment of portal hypertension in hepatosplenic schistosomiasis

Ultrasonography can reveal most of the manifestations of portal hypertension complicating hepatosplenic schistosomiasis. However, direct demonstration of gastroesophageal varices by ultrasonography is still very difficult. An attempt was done to correlate sonographic features of portal hypertension...

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Bibliographic Details
Published in:Memórias do Instituto Oswaldo Cruz 1992, Vol.87 Suppl 4 (suppl 4), p.143-147
Main Authors: Abdel Wahab, M F, Esmat, G
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Child
Collateral Circulation
Esophageal and Gastric Varices - diagnostic imaging
Esophageal and Gastric Varices - etiology
Fibrosis
Gastrointestinal Hemorrhage - etiology
Hematemesis - epidemiology
Hematemesis - etiology
Humans
Hypertension, Portal - diagnostic imaging
Incidence
Liver Diseases, Parasitic - diagnostic imaging
Liver Diseases, Parasitic - parasitology
Middle Aged
PARASITOLOGY
Pilot Projects
portal hypertension
schistosomiasis
Schistosomiasis mansoni - complications
Schistosomiasis mansoni - diagnostic imaging
Severity of Illness Index
Splenic Diseases - diagnostic imaging
Splenic Diseases - parasitology
TROPICAL MEDICINE
Ultrasonography
ultrasound
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Summary:Ultrasonography can reveal most of the manifestations of portal hypertension complicating hepatosplenic schistosomiasis. However, direct demonstration of gastroesophageal varices by ultrasonography is still very difficult. An attempt was done to correlate sonographic features of portal hypertension with the degree of fibrosis to screen patients having varices and predicting their chance of bleeding. The results obtained were found to be consistent with the esophagogastric endoscopy and with history of hematemesis. Four parameters were used, size of spleen, degree of periportal fibrosis, presence of collaterals and portal vein diameter. A pilot field survey was also done adopting the same principle.
ISSN:0074-0276
1678-8060
0074-0276
1678-8060
DOI:10.1590/S0074-02761992000800021