Multi-slice spiral CT portography in diagnosing portal hypertension and esophageal varication

WANG Hui; YU Changlu; HAN Yuxin; WANG Tao; TANG Yifan; HE Ping

doi:10.19300/j.2017.L4634

Abstract：Objective To investigate the clinical value of multi-slice CT portography (MSCTP) in diagnosing esophageal and gastric varication caused by cirrhosis and portal hypertension. Methods The data of 60 patients with liver cirrhosis and portal hypertension from April 2015 to July were enrolled in this prospective study. All the patients were examined with gastroscopy and MSCTP. The positive rate of MSCTP and endoscopic esophageal and gastric varication, and the consistency of esophageal varication grading were analyzed with Kappa test.χ2 test was used to detect the difference in esophageal and gastric varication Sarin types between MSCTP and gastroscopy. Results The positive rate of MSCTP examination was highly consistent with that of gastroscopy (κ=0 . 735 , P<0 . 001 ) . MSCTP was highly consistent with gastroscopy for evaluating esophageal varication ( κ=0.728, P<0.001), there was no statistically significant difference in esophageal and gastric varication Sarin types between MSCTP and gastroscopy (P>0.05). MSCTP found 13 cases of shunt, including gastric renal shunt in 4 cases, splenorenal shunt in 9 cases, and umbilical vein recanalization in 3 cases. Conclusion MSCTP can well show esophageal and gastric varication in the patients with liver cirrhosis and portal hypertension, and is in good agreement with the observation in gastroscopy. The cavity vein and collateral can be well evaluated on MSCTP. MSCTP can provide reliable evidence for clinical diagnosis.