الفهرس | Only 14 pages are availabe for public view |
Abstract Portal hypertension is a severe consequence of liver cirrhosis because it predisposes to the development of serious clinical symptoms and increases the risk of death in patients. Transient elastography spleen stiffness measurement has been presented as a promising method for predicting clinically severe portal hypertension and the presence of gastroesophageal varices. Spleen stiffness measurement using two-dimensional real-time shear wave elastography (2D- SWE), a more recent technology, appears to have higher success rates than transient elastography. The aim of our study is to evaluate if spleen stiffness measurement (SSM) can rule out the presence of high-risk varices in patients with cirrhosis, avoiding an upper gastrointestinal endoscopy (UGE). The current study is a case control study included 22 liver cirrhotic patients and 24 healthy controls were recruited. The patients were referred to ultrasound unit at Kasr Alainy radiology department either from outpatient clinics or inpatient departments in the time from December 2021 to april 2022 where our study was conducted. All patients were subjected to measurement conventional ultrasound examination and shear-Wave elastography examinationWe concluded that spleen stiffness measured by 2D- shear wave elastography is a reliable method for diagnosis of liver cirrhosis and associated clinically significant portal hypertension. |