Evaluation of esophageal varices by multidetector-row CT: Correlation with endoscopic 'red color sign'

Hirofumi Mifune, Shiro Akaki, Kentaro Ida, Tetsuro Sei, Susumu Kanazawa, Hiroyuki Okada

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

To evaluate the ability of multidetector-row CT (MDCT) to predict a risk of hemorrhage in patients with esophageal varices, a total of 40 MDCT scans were performed in 29 patients who had been diagnosed with esophageal varices by conventional upper gastrointestinal tract endoscopy. In 11 patients, MDCT was performed both before and after endoscopic injection sclerotherapy (EIS). Endoscopically, the red color sign (RC sign) was present in 28 scans. Of the 11 patients who underwent EIS, the RC sign disappeared after EIS in 9. The MDCT scans were obtained in the arterial, portal, and equilibrial phases, and the portal phase images were used in this study. Subsequently, the extent of esophageal varices was categorized into four MDCT scores. The variceal score, the maximum short axis of the varices, and the presence of palisade vein dilatation obtained from MDCT had significant correlation with endoscopic variceal forms, and the presence and severity of RC sign, respectively (p < 0.01). All cases with a maximum minor axis of more than 4 mm showed positive RC sign. MDCT was useful in the evaluation of esophageal varices for predicting a risk of hemorrhage. Copyright

Original languageEnglish
Pages (from-to)247-254
Number of pages8
JournalActa medica Okayama
Volume61
Issue number5
Publication statusPublished - Oct 2007

Keywords

  • Esophageal varices
  • MDCT
  • Red color sign

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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