Postprandial splanchnic haemodynamic changes in patients with liver cirrhosis and patent paraumbilical vein

European Journal of Gastroenterology and Hepatology

Volumn 16, Issue 12, 2004, Pages 1339-1345

  Berzigotti, Annalisa ^a   Dapporto, Susanna ^a   Angeloni, Lucia ^a   Ramilli, Stefano ^a   Bianchi, Giampaolo ^a   Morelli, Maria Cristina ^a   Magalotti, Donatella ^a   Zoli, Marco ^a,b  

^a UNIVERSITY OF BOLOGNA   (Italy)

^b Dipartimento di Medicina Interna   (Italy)

Author keywords

Duplex Doppler; Liver cirrhosis; Paraumbilical vein; Postprandial hyperaemia

Indexed keywords

ADULT; AGED; ANALYSIS OF VARIANCE; ARTERY RESISTANCE; ARTICLE; BLOOD FLOW VELOCITY; COLLATERAL CIRCULATION; COLOR ULTRASOUND FLOWMETRY; CONTROLLED STUDY; CORRELATION ANALYSIS; FEMALE; HEMODYNAMIC MONITORING; HUMAN; IMPEDANCE; LIVER CIRRHOSIS; LIVER PERFUSION; MAJOR CLINICAL STUDY; MALE; PARAUMBILICAL VEIN; PORTAL HYPERTENSION; PORTAL VEIN; PORTAL VEIN BLOOD PRESSURE; POSTPRANDIAL STATE; PRIORITY JOURNAL; PULSATILE FLOW; SPLANCHNIC BLOOD FLOW; SPLEEN CELL; SUPERIOR MESENTERIC ARTERY; UMBILICAL VEIN; VASCULAR PATENCY; VASOCONSTRICTION;

ADRENERGIC BETA-ANTAGONISTS; ANALYSIS OF VARIANCE; BLOOD FLOW VELOCITY; COLLATERAL CIRCULATION; FEMALE; HEMODYNAMIC PROCESSES; HUMANS; HYPEREMIA; HYPERTENSION, PORTAL; LIVER CIRRHOSIS; MALE; MESENTERIC ARTERY, SUPERIOR; MIDDLE AGED; PORTAL PRESSURE; PORTAL SYSTEM; PORTAL VEIN; POSTPRANDIAL PERIOD; PULSATILE FLOW; SPLANCHNIC CIRCULATION; UMBILICAL VEINS;

EID: 10344252339     PISSN: 0954691X     EISSN: None     Source Type: Journal    
DOI: 10.1097/00042737-200412000-00018     Document Type: Article

References (35)

1. de Franchis R. Updating consensus in portal hypertension: report of the Baveno III Consensus Workshop on definitions, methodology and therapeutic strategies in portal hypertension. J Hepatol 2000; 33:846-852.
2. Martin BF, Tdur RG. The umbilical and paraumbilical veins of man. J Anat 1980; 130:305-322.
3. Gibson RN, Gibson PR, Donlan JD, Clunie DA. Identification of a patent paraumbilical vein by using Doppler sonography: importance in the diagnosis of portal hypertension. Am J Roentgenol 1989; 153:513-516.
4. Aagaard J, Jensen LI, Sorensen TI, Christensen U, Burcharth F. Recanalized umbilical vein in portal hypertension. Am J Roentgenol 1982; 139:1107-1110.
5. Domland M, Gebel M, Caselitz M, Bleck J, Manns MP. Comparison of portal venous flow in cirrhotic patients with and without paraumbilical vein patency using duplex-sonography. Ultraschall Med 2000; 21:165-169.
6. Chen CH, Wang JH, Tung WC, Hung CH, Lee CM, Chanchien CS. Comparison of prevalence for paraumbilical vein patency in patients with viral and alcoholic liver cirrhosis. Am J Gastroenterol 2002; 97: 2415-2418.
7. Mostbeck GH, Wittich GR, Herold C, Vergesslich KA, Walter RM, Frotz S, Sommer G. Hemodynamic significance of the paraumbilical vein in portal hypertension: assessment with duplex US. Radiology 1989; 170:339-342.
8. Morin C, Lafortune M, Pomier G, Robin M, Breton G. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance. Radiology 1992; 185:253-256.
9. Chou CC. Splanchnic and overall cardiovascular hemodynamics during eating and digestion. Fed Proc 1983; 42:1658-1661.
10. Taourel P, Blanc P, Dauzat M, Chabre M, Pradel J, Gallix B, et al. Doppler study of mesenteric, hepatic, and portal circulation in alcoholic cirrhosis: relationship between quantitative Doppler measurements and the severity of portal hypertension and hepatic failure. Hepatology 1998; 28: 232-236.
11. Sabba C, Ferraioli G, Genecin P, Colombato L, Buonamico P, Lerner E, et al. Evaluation of postprandial hyperemia in superior mesenteric artery and portal vein in healthy and cirrhotic humans: an operator-blind echo-Doppler study. Hepatology 1991; 13:714-718.
12. Gaiani S, Bolondi L, Li Bassi S, Santi V, Zironi G, Barbara L. Effect of meal on portal hemodynamics in healthy humans and in patients with chronic liver disease. Hepatology 1989; 9:815-819.
13. Siringo S, Piscaglia F, Zironi G, Sofia S, Gaiani S, Zammataro M, Bolondi L. Influence of esophageal varices and spontaneous portal-systemic shunts on postprandial splanchnic hemodynamics. Am J Gastroenterol. 2001; 96:550-556.
14. Castleman L, Brandt JL, Ruskin HD. The effects of oral feeding of meat and glucose on hepatic vein wedge pressure in normal and cirrhotic subjects. J Lab Clin Med 1958; 51:897-903.
15. McCormick PA, Dick R, Graffeo M, Wagstaff D, Madden A, McIntyre N, Burroughs AK. The effect of non-protein liquid meals on the hepatic venous pressure gradient in patients with cirrhosis. J Hepatol 1990; 11:221-225.
16. Sugano S, Yamamoto K, Momiyama K, Watanabe M, Idhii K. Azygos venous blood flow while fasting, postprandially, and after endoscopic variceal ligation, measured by magnetic resonance imaging. J Gastroenterol 1999; 34:310-314.
17. Bosch J, Groszmann RJ. Measurement of azygos venous blood flow by a continuous thermal dilution technique: an index of blood flow through gastro-esophageal collaterals in cirrhosis. Hepatology 1984; 4:424-429.
18. Bosch J, Mastai R, Kravetz D, Bruix J, Rigau J, Rodes J. Measurement of azygos venous blood flow in the evaluation of portal hypertension in patients with cirrhosis. Clinical and hemodynamic correlations in 100 patients. J Hepatol 1985; 1:125-139.
19. Matsutani S, Furuse J, Ishii H, Mizumoto H, Kimura K, Onto M. Hemodynamics of the left gastric vein in portal hypertension. Gastroenterology 1993; 105:513-518.
20. Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection of the esophagus for bleeding esophageal varices. Br J Surg 1973; 60:646-649.
21. Sacerdoti D, Bolognesi M, Bombonato G, Gatta A. Paraumbilical vein patency in cirrhosis: effects on hepatic hemodynamics evaluated by Doppler sonography. Hepatology 1995; 22:1689-1694.
22. Moriyasu F, Ban N, Nishida O, Nakamura T, Miyake T, Uchino H, et al. Clinical application of an ultrasonic duplex system in the quantitative measurement of portal blood flow. J Clin Ultrasound 1986; 14:579-588.
23. Sabba C, Merkel C, Zoli M, Ferraioli G, Gaiani S, Sacerdoti D, Bolondi L. Interobserver and interequipment variability of echo-Doppler examination of the portal vein: effect of a cooperative training program. Hepatology 1995; 21:428-433.
24. Zoli M, Merkel C, Sabba C, Sacerdoti D, Gaiani S, Ferraioli G, Bolondi L. Interobserver and inter-equipment variability of echo-Doppler sonographic evaluation of the superior mesenteric artery. J Ultrasound Med 1996; 15:99-106.
25. Moriyasu F, Nishida O, Ban N, Nakamura T, Sakai M, Miyake T, Uchino H. 'Congestion index' of the portal vein. Am J Roentgenol 1986; 146: 735-739.
26. Sacerdoti D, Gaiani S, Buonamico P, Merkel C, Zoli M, Bolondi L, Sabba C. Interobserver and interequipment variability of hepatic, splenic, and renal arterial Doppler resistance indices in normal subjects and patients with cirrhosis. J Hepatol 1997; 27:986-992.
27. Zironi G, Gaiani S, Fenyves D, Rigamonti A, Bolondi L, Barbara L. Value of measurement of mean portal flow velocity by Doppler flowmetry in the diagnosis of portal hypertension. J Hepatol 1992; 16:298-303.
28. Sabba C, Ferraioli G, Buonamico P, Mahl T, Taylor KJ, Lerner E, et al. A randomized study of propranolol on postprandial portal hyperemia in cirrhotic patients. Gastroenterology 1992; 102:1009-1016.
29. Sabba C, Ferraioli G, Buonamico P, Berardi E, Antonica G, Taylor KJ, Albano O. Echo-Doppler evaluation of acute flow changes in portal hypertensive patients: flow velocity as a reliable parameter. J Hepatol 1992; 15:356-360.
30. Vorobioff JD, Gamen M, Kravetz D, Picabea E, Villavicencio R, Bordato J, et al. Effects of long-term propranolol and octreotide on postprandial hemodynamics in cirrhosis: a randomized, controlled trial. Gastroenterology 2002; 122:916-922.
31. Bellis L, Berzigotti A, Abraldes JG, Moitinho E, Garcia-Pagan JC, Bosch J, Rodes J. Low doses of isosorbide mononitrate attenuate the postprandial increase in portal pressure in patients with cirrhosis. Hepatology 2003; 37:378-384.
32. Bolognesi M, Sacerdoti D, Merkel C, Gerunda G, Maffei-Faccioli A, Angeli P, et al. Splenic Doppler impedance indices: influence of different portal hemodynamic conditions. Hepatology 1996; 23:1035-1040.
33. Bolognesi M, Sacerdoti D, Merkel C, Bombonato G, Enzo E, Gatta A. Effects of chronic therapy with nadolol on portal hemodynamics and on splanchnic impedance indices using Doppler sonography: comparison between acute and chronic effects. J Hepatol 1997; 26:305-311.
34. Bolognesi M, Sacerdoti D, Bombonato G, Angeli P, Gerunda G, Merenda R, et al. Splenic impedance indices: a useful method to monitor patients after liver transplantation? Hepatology 1998; 27:674-678.
35. Bolognesi M, Sacerdoti D, Merkel C, Bombonato G, Gatta A. Noninvasive grading of the severity of portal hypertension in cirrhotic patients by echo-color-Doppler. Ultrasound Med Biol 2001; 27:901-907.