Evaluation of Venous Ammonia Level, Splenic Longitudinal Diameter, Portal Vein and Splenic Vein Diameters as Non-Invasive Indicators for the Presence of Portosystemic Collaterals in Egyptian Cirrhotic Patients
Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=47416#.VMijiizQrzE Author(s) Mohamed F. Montasser , Heba M. Abdella , Amir Helmy Samy Affiliation(s) Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt . Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt . Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt . ABSTRACT Introduction and Aim of the Work: The identification of cirrhotic patients with esophageal varices or other portosystemic collateral by non-invasive means is appealing in that it could decrease the necessity of endoscopic screening. This study was to evaluate the diagnostic utility of venous ammonia level with other ultrasonographic parameters as non-invasive markers for the presence of portosystemic shunts. Patients and methods: The study included 3 groups of Child Pugh class A and early B patients. Group (A): 25 p...