Article Sidebar

PDF
Date Published: 28/08/2025
Abstract Views: 27
Views PDF: 12
DOI: https://doi.org/10.56535/jmpm.v50i6.1331
Issue
Vol. 50 No. 6 (2025): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 6 - 2025
Section
Articles
How to Cite
Phung, A. T., & Đỗ, Đ. Q. (2025). THE CHARACTERISTICS OF SPONTANEOUS PORTOSYSTEMIC SHUNTS ON 64-ROW DETECTOR COMPUTED TOMOGRAPHY IN PATIENTS WITH CIRRHOSIS. Journal of Military Pharmaco-medicine, 50(6), 82-90. https://doi.org/10.56535/jmpm.v50i6.1331

THE CHARACTERISTICS OF SPONTANEOUS PORTOSYSTEMIC SHUNTS ON 64-ROW DETECTOR COMPUTED TOMOGRAPHY IN PATIENTS WITH CIRRHOSIS

Phung Anh Tuan1, , Đường Quý Đỗ2,3
1 Bệnh viện Quân y 103, Học viện Quân y
2 Bệnh viện Quân y 7
3 Học viện Quân y

Main Article Content

Abstract

Objectives: The aim of this study is to discriber the characteristics of spontaneous portosystemic shunts (SPSS) on 64-row detector CT. Subjects and methods: Study was performed on 90 patients that were treated at 103 Military Hospital from Apr. 2024 to Mar. 2025. Evaluate the characteristics of SPSS on CT: the extent and location of SPSS, numbers, diameter… Determine relationship between the presence of oesophageal varices with that of others. Results: SPSS were found on 73.3%. Most common was esophageal varices. There were good agreements between endoscopy and CT in diagnosing esophageal and gastric varices. The esophageal varices showed a significant relationship with paraesophageal, gastric and left gastric varices. Conclusion: The 64-row detector CT image is helpful for determine the characteristics of SPSS on patients with cirrhosis.

Article Details

Keywords

spontaneous portosystemic shunts, cirrhosis, computed tomography

References

1. Đào Văn Long. Xơ gan. Bệnh học Nội khoa tập 2. Nhà xuất bản Y học. 2012:9-16.
2. Praktiknjo M, Simón-Talero M, Römer J, et al. Total area of spontaneous portosystemic shunts independently predicts hepatic encephalopathy and mortality in liver cirrhosis. Journal of Hepatology. 2020; 72(6):1140-1150.
3. Simón-Talero M, Roccarina D, Martínez J, et al. Association between portosystemic shunts and increased complications and mortality in patients with cirrhosis. Gastroenterology. 2018; 154(6):1694-1705. e1694.
4. Solaiman SA, Habba MR, El Kammash TH, et al. Computed tomography predictors of gastroesophageal varices in cirrhotic patients: The added value of portosystemic collaterals. Egyptian Journal of Radiology Nuclear Medicine. 2023; 54(1):64.
5. Yi F, Guo X, Zeng QL, et al. Computed tomography images of spontaneous portosystemic shunt in liver cirrhosis. Can J Gastroenterol Hepatol. 2022:3231144.
6. Kothari R, Khanna D, Kar P. To evaluate the prevalence of spontaneous portosystemic shunts in decompensated cirrhosis patients and its prognostic significance. Indian Journal of Gastroenterology. 2023; 42(5):677-685.
7. Ke Q, Yu X, Wang X, et al. Prevalence, clinical characteristics, and outcomes of spontaneous portosystemic shunt in patients with hepatitis B-related cirrhosis: A multicenter study from China. Digestive Liver Disease. 2023; 55(10):1382-1390.
8. Calame P, Ronot M, Bouveresse S, et al. Predictive value of CT for first esophageal variceal bleeding in patients with cirrhosis: Value of para-umbilical vein patency. European Journal of Radiology. 2017; 87:45-52.
9. Yang CT, Chen HL, Ho MC, et al. Computed tomography indices and criteria for the prediction of esophageal bleeding in survivors of biliary atresia awaiting liver transplantation. Asian Journal of Variceal Surgery. 2011; 34(4):168-174.
10. Salahshour F, Mehrabinejad MM, Rashidi Shahpasandi MH, et al. Esophageal variceal hemorrhage: The role of MDCT characteristics in predicting the presence of varices and bleeding risk. Abdominal Radiology. 2020; 45:2305-2314.