| To evaluate the relationship of Doppler parameters of hepatic and portal vasculature, hepatic vein wave forms with
presence and size of oesophageal varices in cirrhotic patients. A cohort of cirrhotic patients identified by clinical,
laboratory and radiological parameters were evaluated. They were investigated for oesophageal varices by
oesophagoduodenoscopy and by Doppler ultrasound. The relation between the presence and size of oesophageal varices
and Doppler parameters were studied. Fifty two patients were enrolled in this prospective study. There were 44 male and 8
female patients. 23 patients were in Child Pugh Class C , 16 in Child Pugh Class B and 13 in Child Pugh Class A. Small
oesophageal varices were associated with monophasic wave forms in 19.4%. biphasic wave forms in 38.7%, triphasic wave
forms in 41.9%. Large oesophageal varices were associated with monophasic wave forms in 42.1%. biphasic wave forms
in 52.6%, triphasic wave forms in 6.3%. The p- value was statistically significant with 0.013 [p <0.05]. Spleen size greater
than 15.3 was associated with large oesophageal varices which was statistically significant, none of the Doppler parameters
were statistically significant for large oesophageal varices. Our study data suggested that monophasic hepatic vein wave
forms, splenic artery resistivity index, and spleen size greater than 15. 3 cms were related with presence of large
oesophageal varices. These parameters may help in targeted identification of patients with large oesophageal varices and
aid in their management.ddd |
