Gallbladder wall thickening as a sign of esophageal varices in chronic liver disease
Küçük Resim Yok
Tarih
1999
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
The etiology of gall bladder wall thickening (GBWT) in patients with cirrhosis is unknown. We aimed to compare GBWT in patients with different stages of cirrhosis and to investigate the relationship between GBWT and esophageal varices, ascites, serum albumin and transaminases levels. The patients with liver cirrhosis diagnosed were divided into three groups; from biopsy results group A was composed of 37 patients with no ascites and no esophageal varices; group B, 28 patients with esophageal varices, and no ascites without hypoalbuminemia; group C, 32 patients with esophageal varices and ascites. GBWT was 3.13±0.35 mm (mean±SD) in group A, 3.89±0.83 mm in group B and 5.00±1.39 mm in group C. There were significant differences between group A and B (p<0.0001), group A and C (p<0.0001) and group B and C (p<0.0005). Multiple regression analysis showed that esophageal varices was the only factor related to GBWT (p<0.0001). There was limited correlation between GBWT and ascites (p=0.051) and serum albumin levels (p=0.06). These results suggest that there is a close relationship between GBWT and esophageal varices. GBWT may be considered a sign of esophageal varices and portal hypertension, but a normal gallbladder wall can not rule out esophageal varices.
Açıklama
Anahtar Kelimeler
Cirrhosis, Gallbladder wall, Ultrasonography
Kaynak
Turkish Journal of Gastroenterology
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
10
Sayı
1
