Endoscopic markers of impending varceal hemorrhage: Correlation with the pressure in the varices

Kazushige Beppu, Makoto Hashizume

研究成果: ジャーナルへの寄稿記事

抜粋

In 40 patients with cirrhosis and esophageal varices, transmural variceal pressure was assessed endoscopically by fine needle puncture and related to endoscopicsigns as well as to the severity of liver disease. Transmural pressure was significantly (p < 0.01) higher in the presence of a red color sign (26.7[7.8] cm H2O) than in its absence (19.1 [6.6] cm H2). Transmural pressure, however, was not significantly related to diameter or number of varices (diameter >5mm: 23.7 [8.4], diameter ≦ 5 mm: 22.2 [7.9] cm H20; number > 3: 23.2 [8.0], number ≦ 3: 22.2 [7.8] cm H2O. The Child status (Child A: 23.9 [8.0], Child B/C: 21.3 [8.1] cm H2O) and individual Child‐Pugh parameters including ascites (ascites present: 23.2 [8.3] cm H2O, ascites absent: 22.8 [8.1] cm H2O) were not significantly related to transmural variceal pressure. We conclude that the endoscopic visibility of a red color sign on the varices is associated with a high transmural esophageal variceal pressure. Our results favor the hypothesis that variceal pressure may be of major importance for the development of the red color sign.

元の言語英語
ページ(範囲)147-148
ページ数2
ジャーナルHepatology
11
発行部数1
DOI
出版物ステータス出版済み - 1 1990

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All Science Journal Classification (ASJC) codes

  • Hepatology

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