Veins around the esophagus and the stomach: Do their calibrations provide a diagnostic clue for portal hypertensive gastropathy?

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• 作者：Ayse Erden ; Ramazan Idilman ; Ilhan Erden ; Ali Ozden
• 关键词：Portal hypertension ; MR Portography ; Portal hypertensive gastropathy ; Left gastric vein ; Paraesophageal veins
• 刊名：Clinical Imaging
• 出版年：2009
• 出版时间：January-February 2009
• 年：2009
• 卷：33
• 期：1
• 页码：22-24
• 全文大小：158 K

文摘

Objective

We analyze whether calibrations of esophagogastric veins can be used as an indirect sign for the presence of portal hypertensive gastropathy (PHG).

Patients and Methods

The diameters of the left gastric, paraesophageal, and azygos veins were measured on magnetic resonance (MR) portograms of 57 patients with portal hypertension. The mean diameters of the abovementioned veins in patients with and without PHG were compared with Mann–Whitney U test. The diametral associations between the left gastric and azygos veins were assessed with Fisher's exact test in respect to the presence of PHG.

Results

In patients with PHG, the mean diameters of the left gastric, paraesophageal, and azygos veins were not statistically different from those in patients without PHG (P>.05). There was no significant difference in the diametral relationship between the left gastric and azygos veins in patients with and without PHG.

Conclusion

The calibrations of the veins around the esophagus and the stomach do not provide any clue about the presence of PHG.