Analysis of the diagnosis of esophageal and gastric varices by CT portography or endoscopy

Hong-feng Yi, Yue-yue Lu, Qiong Xie


Objective: To study the application of CTP for cirrhotic portal hypertension collateral circulation of the blood vessels display and its clinical significance in the follow-up on the basis of the diagnosis value of CT portal vein angiography (CTP) and gastroscope diagnosis of gastroesophageal varices in patients with cirrhosis. Methods: 86 patients with cirrhosis, who were admitted to our hospital during December 2011 and December 2013, were treated with multiple row helical CT enhanced scan of portal vein blood vessel imaging. Observe the degree of gastroesophageal varices and analyze the establishment of any other collateral circulation at the same time. Gastroscopy examination was conducted within 4 weeks and the degree of gastroesophageal varices was analyzed. Results: In 86 patients, gastroscopy confirmed 66 cases of esophageal varices, findings of 58 cases of CTP diagnosis were consistent with gastroscope diagnosis. Gastroscope diagnosis of gastric varices in 28 cases was the same with CTP diagnosis. It reveals that CTP diagnosis of gastroesophageal varices coincide with gastroscope examination. Its evaluation of esophageal varices position, however, is poorer than gastroscope examination. Conclusion: It can be used in patients with cirrhosis to assess the risk of stomach bleeding of esophageal varices, and can reduce unnecessary endoscopic follow-up.


Liver cirrhosis; Gastroesophageal varices; CT portal vein blood vessels; Gastroscope

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Global Journal of Medical Imaging  

ISSN 2372-3874 (Online)  ISSN ****-****(Print)