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Abstract

Objectives To assess the effect of increased portal diameter and decrease the velocity on the development of portal vein thrombus and the prognosis in patients with liver cirrhosis. Background Cirrhotic patients who have portal vein thrombosis (PVT) are considered at high risk of liver decompensation and increasing the mortality rate. Studying portal vein diameter and velocity as predictors for PVT occurrence. Methods The study was prospective cohort study. It was conducted on (25) patients having cirrhosis having portal vein thrombosis (PVT) and another (25) patients having cirrhosis without PVT, and (20) normal controlled patients of the same age and sex. The full details regarding the diameter and the velocity of the portal vein in addition comparing with other parameters affecting portal vein thrombosis occurrence in these groups were discussed. Results Increased diameter of the portal vein and decreased velocity in cirrhotic patients with PVT (15.20±1.78, 17.04±1.43) respectively, than those in cirrhotic patients without PVT (11.84±1.18, 23.60±2.71) respectively and there was significant correlation between increased portal vein diameter and decreased portal vein velocity and the risk of occurrence of portal vein thrombus. Conclusion the increase in portal vein diameter and the decrease in portal vein velocity were accompanied with the increase in the risk of occurrence of PVT. Patients with cirrhosis and increased portal diameter and decreased velocity were a group of high risk for PVT and its complications and increased the mortality rate and, that may need thromboprophylactic drugs.

Subject Area

Tropical Medicine

Article Type

Original Study

Creative Commons License

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

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