Dragoteanu M, Balea IA, Dina LA, Piglesan CD, Grigorescu I, Tamas S, Cotul SO. Staging of portal hypertension and portosystemic shunts using dynamic nuclear medicine investigations. World J Gastroenterol 2008; 14(24): 3841-3848 [PMID: 18609707 DOI: 10.3748/wjg.14.3841]
Corresponding Author of This Article
Dr. Mircea Dragoteanu, PhD, Department of Nuclear Medicine, Clinical Emergency Hospital "Prof dr Octavian Fodor", str. Croitorilor 19-21 Cluj-Napoca, 400162, Romania. dragoteanu@yahoo.co.uk
Article-Type of This Article
Clinical Research
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jun 28, 2008; 14(24): 3841-3848 Published online Jun 28, 2008. doi: 10.3748/wjg.14.3841
Table 1 Features of the study population according to the final diagnosis (n)
Type of disease
Number of patients
Steatosis
17
Chronic hepatitis
69
Cirrhosis
202
Unknown
3
CLD infirmed
21
Total
312
Table 2 Etiology for the patients with chronic liver disease (n)
Etiology
Number of patients
Viral
139
Alcohol
74
Mix (viral + alcohol)
6
Unknown
72
Total
291
Table 3 Distribution of all the patients and of those with cirrhosis according to the per-rectal portal shunt index and to our classification in 5 stages
Per-rectal portal shunt index (%)
Number of patients (n)
Cirrhosis
Stage in our classification
0-5
65
0
Stages 0 & 1
5-10
13
5
Stage 2
10-20
42
80
43
Stage 3
20-30
38
30-40
17
154
154
Stage 4
40-50
10
50-60
11
60-70
10
70-80
18
80-90
40
90-100
48
Total
312
202
Table 4 Statistical analysis of the per-rectal portal shunt index for healthy subjects and for the different stages of chronic liver disease using Kruskall-Wallis test
Disease
Number of patients (n)
Sum of ranks
CLD infirmed
21
759.5
Steatosis
17
1201.5
Chronic hepatitis
69
5004.5
Cirrhosis
202
40929.5
Table 5 Liver transit time and distribution in stages of the patients with the per-rectal portal shunt index lower than 10%
Per-rectal shunt index
Mean value of liver transit time (s)
Etiology
Number of patients (n)
Stage in our classification
Right lob
Left lobe
< 5%
24
-
38
Stage 0
25
28
viral
10
Stage 1a
31
24
alcoholic
6
Stage 1b
31.5
29
viral
7
Stage 1c
viral + alcoholic
4
5%-10%
19.5
13
Stage 2
Citation: Dragoteanu M, Balea IA, Dina LA, Piglesan CD, Grigorescu I, Tamas S, Cotul SO. Staging of portal hypertension and portosystemic shunts using dynamic nuclear medicine investigations. World J Gastroenterol 2008; 14(24): 3841-3848