Effects of a meal on normal and hypertensive portal venous system: a quantitative ultrasonographic assessment.
A prospective sonographic study was undertaken in age- and sex-matched normal subjects and patients with portal hypertension to evaluate the effects of a meal on the portal venous system. Postprandial increase in portal vessel diameters was proved to be statistically significant in normal individuals, with mean variations of 27.9% (16-60%), 46.5% (25-83%), and 45.2% (20-75%), respectively, for portal, splenic, and superior mesenteric veins. In contrast, this effect was insignificant in the hypertensive portal venous system. A diminished meal-related caliber variation in portal, splenic, and mesenteric veins less than 16%, 25%, and 20%, respectively, could be diagnostic of portal hypertension.
Goyal
A K
AK
Department of Medicine S.M.S. Medical College and Hospital, Jaipur, India.
Pokharna
D S
DS
Sharma
S K
SK
D000293:Adolescent; D000328:Adult; D004435:Eating; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000033:anatomy & histology / Q000502:physiology* / Q000503:physiopathology; D011446:Prospective Studies; D012016:Reference Values; D014463:Ultrasonography