The characteristic of a splanchnic blood-groove at patients with the compensated and decompensated course of cirrhosis

Authors

  • A. S. Tugushev Zaporizhzhia State Medical University,
  • N. V. Tumanska Zaporizhzhia State Medical University,
  • S. M. Gulevsky Training-Scientific Center “University Clinic”,
  • D. I. Mikhantyev SD «Local Clinical Hospital on the Station Zaporizhzhia-2 of the Pridneprovska Railway»,
  • V. V. Neshta SD «Local Clinical Hospital on the Station Zaporizhzhia-2 of the Pridneprovska Railway»,

DOI:

https://doi.org/10.14739/2409-2932.2015.3.52681

Keywords:

Сirrhosis, Splanchnic Blood-Groove, Ultrasonic Scanning, Ultrasonic Dopplerography

Abstract

Syndrome of portal hypertension in liver cirrhosis is determined pathogenetically by the disparity of reduced hepatic portal perfusion to the increase of flowing blood volume. The role of visceral blood flow, which determines the amount of portal blood, is not valued enough.

Aim. The results of survey of 190 patients with liver cirrhosis have been studied in order to assess visceral blood flow.

Methods and results. We have analyzed the clinical condition of patients, the ultrasound scan and Doppler ultrasound results, which characterize the blood flow in the portal, splenic and superior mesenteric vein, hepatic, splenic and superior mesenteric arteries. It was found that the splanchnic blood flow in liver cirrhosis is characterized by an increase in volume portal blood. The natural history of cirrhosis of the liver is accompanied by a decrease in portal blood flow relative to splenic and superior mesenteric flow in the transition from compensated to decompensated state.

Conclusions. This indicates the decrease in hepatic portal perfusion relative to increase in visceral blood volume, an increase of portal pressure portacaval gradient, being one of the causes of hemodynamic complications.

 

References

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1.
Tugushev AS, Tumanska NV, Gulevsky SM, Mikhantyev DI, Neshta VV. The characteristic of a splanchnic blood-groove at patients with the compensated and decompensated course of cirrhosis. Current issues in pharmacy and medicine: science and practice [Internet]. 2015Nov.3 [cited 2024Dec.25];(3). Available from: http://pharmed.zsmu.edu.ua/article/view/52681

Issue

No. 3 (2015)

Section

Original research

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