ISSN: 1859 - 2872
Association between spontaneous portosystemic shunts on multi-slice computed tomography and clinical characteristics of patients with cirrohis
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Abstract
Objective: The aim of this study is to identify the association between the characteristics of spontaneous portosystemic shunts (SPSS) on multi-slice CT (MSCT) and clinical characteristics of patients with cirrhosis. Subject and method: This is a cross-sectional study of 90 patients with cirrhosis that were treated at 103 Military Hospital from April 2024 to March 2025. Comparisons between the characteristics of SPSS on MSCT with Child-Pugh score, bleeding and ascites were performed. Result: There were significant differences bwteen Child-Pugh score and the number, diameter of SPSS. Patients with large SPSS and multiple SPSS also had a larger number of portal hypertension-related bleeding than those with small SPSS and without SPSS. ROC curve shows the predictive ability of esophageal diameter on MSCT for predicting the bleeding with AUC = 0.816, Se 80.8%, Sp 70.3%, cutoff 4.95mm, p<0.001. Conclusion: There was a association between the number, diameter of SPSS on MSCT with Child-Pugh and bleeding. The diameter of esophageal varix on MSCT was a significant predictive factor for bleeding
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References
2. Praktiknjo M, Simón-Talero M, Römer J, Roccarina D, Martínez J, Lampichler K et al (2020) Total area of spontaneous portosystemic shunts independently predicts hepatic encephalopathy and mortality in liver cirrhosis. Journal of hepatology 72(6): 1140-1150.
3. Yi F, Guo X, Zeng QL, Yang B, He Y, Yuan S, et al (2022) Computed Tomography Images of Spontaneous Portosystemic Shunt in Liver Cirrhosis. Can J Gastroenterol Hepatol 2022:3231144.
4. Đào Văn Long (2012) Xơ gan. Bệnh học nội khoa tập 2. Nhà xuất bản Y học, tr. 9-16.
5. Simón-Talero M, Roccarina D, Martínez J, Lampichler K, Baiges A, Low G et al (2018) Association between portosystemic shunts and increased complications and mortality in patients with cirrhosis. Gastroenterology 154(6): 1694-1705.
6. Hassan M, Husen Y, Hussain Z (2019) Diagnostic accuracy of multidetector computed tomography in detection of esophageal varices. Cureus 11(1).
7. Somsouk M, To’o K, Ali M, Vittinghoff E, Yeh BM, Yee J et al (2014) Esophageal varices on computed tomography and subsequent variceal hemorrhage. Abdominal imaging 39: 251-256.
8. Ryu H, Kim TU, Yoon KT, Hong YM (2023) Predicting the risk of early bleeding following endoscopic variceal ligation in cirrhotic patients with computed tomography. BMC gastroenterology, 23(1): 410.
9. Dajti E, Renzulli M, Colecchia A, Bacchi-Reggiani ML, Milandri M, Rossini B et al (2022) Size and location of spontaneous portosystemic shunts predict the risk of decompensation in cirrhotic patients. Digestive Liver Disease 54(1): 103-110.
10. Ke Q, Yu X, Wang X, Huang J, Lin B, He J et al (2023) Prevalence, clinical characteristics, and outcomes of spontaneous portosystemic shunt in patients with hepatitis B-related cirrhosis: A multicenter study from China. Digestive Liver Disease 55(10): 1382-1390.
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