Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 5, Number 3, June 2012, pages 112-119

Correlation Between Sonographic Portal Vein Diameter and Flow Velocity With the Clinical Scoring Systems MELD and CTP in Cirrhotic Patients: Is There a Relationship?

Figures

Figure 1.
Figure 1. Portal vein diameter (curve arrow) is measured where it crosses anterior to IVC (arrow).
Figure 2.
Figure 2. Portal vein time averaging flow velocity (TAV) measurement show: 16cm/s mean velocity of portal vein flow.
Figure 3.
Figure 3. Portal vein peak velocity which is shown to be 21 cm/sec.

Tables

Table 1. CTP Score, Ascites and Encephalopathy in Our Patients
 
Clinical CharacteristicsData
CTP ScoreNo. of patients (%)
  Class A (5 - 6)10 (9.3%)
  Class B (7 - 9)58 (53.7%)
  Class C (> 9)40 (37%)
AscitesNo. of patients (%)
  No22 (20.4%)
  Mild34 (31.5%)
  Severe52 (48.1%)
EncephalopathyNo. of patients (%)
  No89 (82.4%)
  Mild19 (17.6%)
  Severe0

 

Table 2. The Hematological Results of the Total Number of Patients (108)
 
Mean ± SD (range)
Serum albumin (g/dL)3.26 ± 0.83 (1.3 - 6)
Serum bilirubin (mg/dL)4.61 ± 7.68 (0.2 - 21.1)
Serum creatinine (mg/dL)1.29 ± 0.95 (0.3 - 5.4)
PT (sec)16.73 ± 3.94 (11.6 - 34.8)
INR1.93 ± 1.02 (0.9 - 7.25)

 

Table 3. The Sonographic Measurements of Studied Patients
 
Sonographic MeasuresData
  PVD (mm)
Mean ± SD (range)12.11 ± 3.24 (5 - 20)
< 13 (No. of patients - %)66 (61.1%)
> 13 (No. of patients - %)42 (38.9%)
  PFV (cm/sec)No. of patients (%)
Normal (19 - 23)66 (61.1%)
Decreased < 1919 (17.6%)
Increased > 2323 (21.3%)
  No. of patients with their corresponding (MELD score ± SD)
Normal (19 - 23)67 (17.96 ± 9.05)
Decreased < 1922 (17.97 ± 10.05)
Increased > 2319 (15.88 ± 7.50)

 

Table 4. No. of Patients (%) of Hematological Results With Their Corresponding CTP Grades
 
CTP Grade ACTP Grade BCTP Grade C
Serum Albumin (g/dL)28 (25.9%)54 (50%)26 (24.1%)
Serum Bilirubin (mg/dL)53 (49.1%)13(12%)42 (38.9%
INR59 (54.6%)25 (23.1%)24 (22.2%)