Value of per-splenic scinitigraphy predicting esophageal varices bleeding in patients with liver cirrhosis
Abstract：To evaluate the value of per-splenic scintigraphy for the prediction of esophageal varices（EV）bleeding in patients with liver cirrhosis.The spleno-portal vein shape and portosystemic shunt index（PSSI）were determined through portal circulation imaging by using intrasplenic injection of99mTc-Phytate.Severity of EV was also observed by gastroscopy.Results showed that the liver cirrhosis were separated into four type，namely nonshunt，shunt，with collateral vein and full-extrahepatic shunt type by per-splenic scintigraphy.The PSSI of controls was 0.192±0.086，cirrhosis group was 0.541±0.128（P＜0.01）.There were significant differences between the nonshunt／shunt type and with collateral vein／full-extrahepatic shunt type in PSSI（mean±SD，0.455±0.098，0.643±0.123，P＜0.01）.There existed a significant difference between PSSI and severity of EV（P＜0.01），including red colour sign（Rc）（＋）and Rc（－）（P＜0.01），F0、1 and F2、3（P＜0.01）.The esophageal varices bleeding patients had a significantly higher level in PSSI than the nonbleeding（P＜0.01）.The PSSI＞0.62 may be the warning figures of variceal bleeding.It suggests that the per-splenic scintigraphy be one of efficient and safe method for predicting the hemorrhage from esophageal varices in patients with liver cirrhosis.
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Publication Date：2001-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 1-2 )