Sintifotosplenoportografi ile Portal Dolaşımın İncelenmesi

Year 1990, Volume: 43 Issue: 4, 869 - 878, 31.12.1990

Erkan İbiş, M.d.

Abstract

Karaciger sirozunun bir komplikasyonu olan portal hipertansiyon ve kollaterallerin gésterilebilmesi igin dalaktan *"Tc verilerek sintifotosplenoportografi (SSP) teknigi ile 7 kontrol ve 17 sirotik hasta incelendi. Elde edilen gériintiilerin tipine gére vakalar 3 ana grupta inceiendi. Kontroller ve 3 hastada Grup 1 (normal splenoportal aks ve karaciger aktivitesi), 11 hastada Grup 2 (kivrintili ve genis splenoportal aks, kranial veya kaudal kollateraller, normal karaciger aktivitesi), 3 hastada da Grup 3 (kivrmtih splenik ven, hizla olugan kalp aktivitesi ile birlikte karaciger aktivitesinin olmamasi) ile uyumlu goriinttiler izlendi. Vakalarm hichirinde komplikasyon olmadi. SSP, portal hipertansiyonun gésterilmesinde, dzellikle splenoportografinin riskli oldugu vakalarda iyi bir alternatifdir.

Keywords

karaciğer, siroz, hipertansiyon

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

SINTIFOTOSPLENOPORTOGRAFI ILE PORTAL DOLASIMIN INCELENMESI

Abstract

Scintiphotosplenoportography was performed by injecting *™Tc into the spleen in 7 control and 17 cirrhotic patients for the demonstration of portal hypertension and collateral circulation, a complication of liver cirrhosis. Normal image of spleo-portal axis and liver radioactivity were found i n3 patients and in all the control cases (group 1). A tortuous splenic and portal vein, cranial or caudal flow pattern in collaterals and normal liver radioactivity were found in 11 patients (group 2). A tortuous splenic vein without a liver image and rapid visualization of the heart were found in 3 patients (group 3). No significant complications were encountered. In high risk patients scintiphotosplenoportography is an alternative technique to splenoportography for the evaluation of portal hypertension

Keywords

karaciğer, siroz, hipertansiyon

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

• 1. Burcharth F Nielbo N Andersen B : Percutaneous transhepatic portography II. Comparison with splenoportography in portal hypertension, AJR 132 : 183-185, 1979.
• 2, Castell DO Grace ND Wennar MH et al : Evaluation of portal circulation in hepatic cirrhosis. A new method using 13Xe. Gastroenterology 57 : 533-41, 1969.
• 3, Ishikawa T Tsukune Y Fuji M : Venous abnormalities in portal hypertension demonstrated by CT. AJR 134 : 271-276, 1980.
• 4. Kashiwagi T Kamada T Abe H : Dynamic studies of the portal hemodynamics by scintiphotosplenoportography ; The visualization of portal venous system using ®™T¢. Gastroenterology 67 : 668-673, 1974.
• 5 kashiwagi T Kimura K Kamada T Abe H : Dynamic studies on portal hemodynamics by scintiphotosplenoportography : flow partterns of portal circulation Gut 21: 57-62, 1980.
• 6. Kashiwagi T Kimura K Koizumi T : Portosystemic Collaterals in Portal Hypertension ; Visualization by Using Blood-Pool SPECT Imaging. AJR 153 : 281-285, 1989.
• 7. Marco Z Cristina D Emilio P : Splanchnic vein measurements in patients with liver cirrhosis. J Ultrasound Med 4 : 641-646, 1985.
• 8. Nakamura T Nakamura S Kaneko T etal: Measurement of extrahepatic shunted blood flow in liver cirrhosis. J Lab Clin Med 60 ; 889-901, 1962.
• 9 Norihisa T Kenichi N Kenichi K : A Noninvasive Method for Evaluating Portal Circulation by Administration of TI-201 per Rectum. J Nucl Med 23 : 965-72, 1982.
• 10, Shaldon S Caesar J Chiandussi L et al : The demonstration of portapulmonary anastomoses in portal cirrhosis with the use of radioactive krypton (®Kr). N Eng J Med 265 : 410-414, 1961.
• 11. Viamonte M Warren WD Fomon JJ : Liver panangiography in the assessment portal hypertension in liver cirrhosis. Radiol Clin North Am 1 : 147-167, 1970. o