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KMID : 0363819700040010037
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Korean Journal of Nuclear Medicine
1970 Volume.4 No. 1 p.37 ~ p.42
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Correlation of Major Scan Findings and Esophageal Varices in Liver Cirrhosis
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안재성/Ahn, J.S.
박용휘/임정익/Bahk, Y.W./Lim, J.I.
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Abstract
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In an endeavor to help understand some typical scan findings and portal hemodynamics in liver cirrhosis, several commonly occurring scan changes and esophageal varices as demonstrated by esoph.gram were correlated one another from quantitative and qualitative stand points. r- Clinical materials consisted of 34 patients with proven diagnosis of liver cirrhosis and esophageal varices. Liver scan was performed with colloidal 198-Au and the changes in the size and internal
itecture of the liver, splenic uptake and splenomegaly were graded and scored by repeated doublellind readings. The variceal charges on esophagrams were also graded according to the classification [I Shanks and Kerley following modification.
Of 34 patients, 91% showed definite reduction in liver volume (shrinkage) constituting the most
Irequent scan change. The splenic uptake and splenomegaly were noted in 73.5 and 79.4%, respecely. The present study revealed no positive correlation between the graded scan findings including
age of the liver, splenic uptake or splenomegaly and severity of variceal changes of the esoph
Exceptionally, however, apparently paradoxical correlation was noted between the severity of Wings and varices. Thus, in the majority (73. 5%) of patients mottlings were either absent or mild
.s interesting observation is in favor of the view held by Christie et al. who consider the mottlings be not faithful expression of actual scarring of the cirrhotic liver. This also would indicate that
ceal changes are to be the results of intrahepatic arteriovenous shunting of blood with hypervolemic
to the portal system rather than simple hypertension secondary to fibrosis and shrinkage.
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KEYWORD
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