A Study of Association of Portal Vein Diameter And Splenic Size With Gastro-Oesophageal Varices in Liver Cirrhosis Patients

Abstract

50 patients with cirrhosis of liver admitted in SMS Hospital, Jaipur were selected for the study. Ultrasonography was performed in all the cases and diameter of portal vein and spleen size was recorded. Endoscopy was performed in all the selected cases to look for oesophageal varices. Out of 50 patients 40(80%) had oesophageal varices at the time of presentation. Average Spleen size in variceal group (14.69±1.08)cm was higher than in non-variceal group(12.45±0.65)cm, p<0.01. The average portal vein diameter of patients in non-variceal group was 11.78±1.58mm and that of patients with varices 14.05±2.26 mm, p <0.01. There was a positive correlation between spleen size and the Grades of oesophageal varices (r=0.6771) and the difference was statistically significant(p<0.01). There was a positive correlation between Portal vein Diameter and grades of oesophageal vaices (r=0.7465),p<0.01. In our study it was also found that there was a weak but definite correlation between Portal Vein Diameter and Spleen size(r=0.5369) which was statistically significant (p<0.01). Hence from the present study it can be concluded that as the Grades of Varices increases the Spleen size and Portal Vein Diameter also increases.