Comparison of hepatic venous pressure gradient and endoscopic grading of esophageal varices
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, EunJi | - |
dc.contributor.author | Kim, Yong Jae | - |
dc.contributor.author | Goo, Dong Erk | - |
dc.contributor.author | Yang, Seung Boo | - |
dc.contributor.author | Kim, Hyun-Joo | - |
dc.contributor.author | Jang, Jae Young | - |
dc.contributor.author | Jeong, Soung Won | - |
dc.date.accessioned | 2021-08-11T17:45:43Z | - |
dc.date.available | 2021-08-11T17:45:43Z | - |
dc.date.issued | 2016-03-21 | - |
dc.identifier.issn | 1007-9327 | - |
dc.identifier.issn | 2219-2840 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/9260 | - |
dc.description.abstract | AIM: To determine the correlation between the hepatic venous pressure gradient and the endoscopic grade of esophageal varices. METHODS: From September 2009 to March 2013, a total of 176 measurements of hepatic venous pressure gradient (HVPG) were done in 146 patients. Each transjugular HVPG was measured twice, first using an end whole catheter (EH-HVPG), and then using a balloon catheter (B-HVPG). The HVPG was compared with the endoscopic grade of esophageal varices (according to the general rules for recording endoscopic findings of esophagogastric varices), which was recorded within a month of the measurement of HVPG. RESULTS: The study included 110 men and 36 women, with a mean age of 56.1 years (range, 43-76 years). The technical success rate of the pressure measurements was 100% and there were no complication related to the procedures. Mean HVPG was 15.3 mmHg as measured using the end hole catheter method and 16.5 mmHg as measured using the balloon catheter method. Mean HVPG (both EHH-VPG and B-HVPG) was not significantly different among patients with different characteristics, including sex and comorbid factors, except for cases with hepatocellular carcinoma (B-HVPG, P = 0.01; EH-HVPG, P = 0.02). Portal hypertension (> 12 mmHg HVPG) occurred in 66% of patients according to EH-HVPG and 83% of patients according to B-HVGP, and significantly correlated with Child's status (B-HVPG, P < 0.000; EHH-VGP, P < 0.000) and esophageal varies observed upon endoscopy (EH-HVGP, P = 0.003; B-HVGP, P = 0.006). One hundred and thirty-five endoscopies were performed, of which 15 showed normal findings, 27 showed grade 1 endoscopic esophageal varices, 49 showed grade 2 varices, and 44 showed grade 3 varices. When comparing endoscopic esophageal variceal grades and HVPG using univariate analysis, the P value was 0.004 for EH-HVPG and 0.002 for B-HVPG. CONCLUSION: Both EH-HVPG and B-HVPG showed a positive correlation with the endoscopic grade of esophageal varices, with B-HVPG showing a stronger correlation than EH-HVPG. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Baishideng Publishing Group | - |
dc.title | Comparison of hepatic venous pressure gradient and endoscopic grading of esophageal varices | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.3748/wjg.v22.i11.3212 | - |
dc.identifier.scopusid | 2-s2.0-84960850678 | - |
dc.identifier.wosid | 000372319300013 | - |
dc.identifier.bibliographicCitation | World Journal of Gastroenterology, v.22, no.11, pp 3212 - 3219 | - |
dc.citation.title | World Journal of Gastroenterology | - |
dc.citation.volume | 22 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 3212 | - |
dc.citation.endPage | 3219 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | HEPATOCELLULAR-CARCINOMA | - |
dc.subject.keywordPlus | PORTAL-HYPERTENSION | - |
dc.subject.keywordPlus | CIRRHOSIS | - |
dc.subject.keywordPlus | SEVERITY | - |
dc.subject.keywordPlus | CATHETER | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | SIZE | - |
dc.subject.keywordAuthor | Hepatic venous pressure gradient | - |
dc.subject.keywordAuthor | Liver cirrhosis | - |
dc.subject.keywordAuthor | Esophageal varices | - |
dc.subject.keywordAuthor | Endoscopic grade of esophageal varices | - |
dc.subject.keywordAuthor | Balloon catheter measurement | - |
dc.subject.keywordAuthor | End hole catheter measurement | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(31538) 22, Soonchunhyang-ro, Asan-si, Chungcheongnam-do, Republic of Korea+82-41-530-1114
COPYRIGHT 2021 by SOONCHUNHYANG UNIVERSITY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.