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Portal vein diameter in cirrhotic and non cirrhotic patients. A sonographic comparison

Titel: Portal vein diameter in cirrhotic and non cirrhotic patients. A sonographic comparison

Forschungsarbeit , 2022 , 94 Seiten , Note: A+

Autor:in: Kiran Tahir (Autor:in)

Medizin - Innere Medizin
Leseprobe & Details   Blick ins Buch
Zusammenfassung Leseprobe Details

This publication aims to compare the portal vein diameter in cirrhotic and non-cirrhotic patients through ultrasound. Liver cirrhosis is a clinical condition in which the normal liver parenchyma is replaced with fibrosis in such a situation it becomes difficult for blood to easily pass through the Portohepatic venous system.

Therefore, the portal vein becomes engorged and increases in diameter, while blood flow velocity reduces. Portal hypertension is clearly-defined as the rise of portal venous pressure, largely due to cirrhosis, which leads to increased hepatic vascular resistance and engorgement of the blood in the portal venous system.

This disease may result in an array of disorders, like that the development of collateral vessels for returning of the blood to the right atrium with the potentiality for intestinal bleeding, development of ascites, encephalopathy, and formation of a 11 hyper-dynamic circulation involving peripheral and splanchnic vessels, related with the malfunction of kidneys, the heart, the lungs, and the brain.

Leseprobe


Table of Contents

1. CHAPTER 1: INTRODUCTION

2. CHAPTER 2: REVIEW OF LITERATURE

3. CHAPTER 3:

3.1: OBJECTIVES

3.2: HYPOTHESIS

3.3: PROBLEM STATEMENT

3.4: OPERATIONAL DEFINITIONS

4. CHAPTER 4: MATERIAL & METHODS

4.1: Study design

4.2: Setting

4.3: Study duration

4.4: Sample size

4.5: Sampling technique

4.6: Sample Selection

4.6.1: Inclusion criteria

4.6.2: Exclusion criteria

4.7: Equipment(s)

4.8: Ethical Considerations

4.9: Data Collection Procedure

4.10: Data Analysis

4.11: Gantt Chart

5. CHAPTER 5: RESULTS

6. CHAPTER 6: DISCUSSION

7. CHAPTER 7:

7.1: Conclusion

7.2: Recommendations

7.3: Limitations

8. CHAPTER 8: REFERENCES

9. CHAPTER 9: ANNEXURE

9.1: Consent Forms

9.2: Questionnaire

9.3: Supplementary Materials/Tables

9.4: Data Sheets

9.5: Permission letters for PGs (IRB, Data collection)

Research Objective and Scope

The primary aim of this research is to perform a comparative analysis of portal vein diameter in patients with liver cirrhosis versus non-cirrhotic patients using ultrasound diagnostic techniques to establish the reliability of this measurement in clinical practice.

  • Sonographic assessment of portal vein dimensions
  • Differentiation between cirrhotic and non-cirrhotic liver profiles
  • Evaluation of portal hypertension symptoms through imaging
  • Statistical correlation between cirrhosis and physiological parameters

Excerpt from the Book

CHAPTER 1

Liver cirrhosis is one of the major issues of health and a big reason for the increased mortality rate all over the world. According to the Global Burden of Disease (GBD) over one million people died due to cirrhosis in 2010 worldwide. According to autopsy studies the worldwide occurrence of cirrhosis, measured from 4.5% to 9.5% in the ubiquitous community. In 2001, the evaluated universal death rate from cirrhosis was 771,000 population, grading 14th and 10th as the foremost etiology of demise in the domain and advanced nations, appropriately. Cirrhosis will be a 12th major issue of demise in 2020. Universally, usual etiologies of cirrhosis are viral hepatitis, alcohol, non-alcoholic steatohepatitis (NASH). The preponderance of cirrhosis is possible to be underrated as about a 3rd of the sufferers remain undetermined. Cirrhosis is the main cause of illness and fatality in the United States. It was specified by the Centers for Disease Control and Prevention that cirrhosis was the 12th key factor of demise in the United States in 2013, reporting for over 36,000 deaths.

Non- alcoholic fatty liver disease (NAFLD) is the superiorly significant source of cirrhosis. Alcohol remains to be one of the large donors to hepatic disorder in the United States. Alcoholic liver disease (ALD) is the greatest etiology of cirrhosis in whites. According to recent data from the National Institute on Alcohol Abuse and Alcoholism demonstrated that whites are mostly expired from alcoholic liver cirrhosis as compared to blacks. In Europe, about 0.1% of Hungarian males will die of cirrhosis every year compared with 0.001% of Greek females.

Summary of Chapters

CHAPTER 1: INTRODUCTION: This chapter provides an global overview of the prevalence and mortality associated with liver cirrhosis, highlighting its status as a major public health concern.

CHAPTER 2: REVIEW OF LITERATURE: This section compiles existing research on the sonographic appearance of the liver, the physiological changes associated with portal hypertension, and prior studies regarding portal vein diameter.

CHAPTER 3: This chapter outlines the specific research objectives, the proposed study hypothesis, and the clinical problem statement regarding current diagnostic limitations.

CHAPTER 4: MATERIAL & METHODS: This chapter details the study design, including the sample size of 100 patients, the scanning technique, and the ethical rigor applied during data acquisition.

CHAPTER 5: RESULTS: This section presents the empirical data gathered during the study, including frequency tables for patient symptoms and crosstabulations between clinical findings and liver condition.

CHAPTER 6: DISCUSSION: This chapter interprets the statistical findings in the context of global literature, discussing the significance of portal vein diameter measurements across different demographics.

CHAPTER 7: This chapter provides the final conclusion of the study, confirming that mean portal vein diameter is significantly greater in cirrhotic patients, and offers recommendations based on the findings.

CHAPTER 8: REFERENCES: A comprehensive list of academic sources and medical studies utilized to support the research findings.

CHAPTER 9: ANNEXURE: Contains the supplementary documents, including the informed consent forms, questionnaire templates, and ethical permission letters.

Keywords

Cirrhosis, Non-cirrhotic, Portal vein diameter, PVD, Sonography, Ultrasound, Portal hypertension, Hepatic architecture, Liver disease, Clinical diagnosis, Statistical analysis, Abdominal imaging.

Frequently Asked Questions

What is the core focus of this research?

The study investigates the differences in portal vein diameter between patients suffering from liver cirrhosis and healthy (non-cirrhotic) individuals using ultrasound.

What are the primary themes addressed in the work?

Key themes include liver anatomy, the pathophysiology of portal hypertension, the diagnostic utility of sonography, and the statistical correlation between vein dimensions and pathological liver states.

What is the research goal?

The goal is to determine if portal vein diameter can serve as a reliable and non-invasive diagnostic marker for liver cirrhosis in the local population.

Which scientific methodology does the author apply?

The author employs a cross-sectional analytical study design, utilizing ultrasound machine data from 100 patients and analyzing these results using SPSS software.

What is the thematic structure of the main section?

The main section spans from literature review and methodology to data analysis and clinical discussion, supported by specific patient result tables and imaging examples.

Which keywords classify this research?

The research is categorized by terms such as Cirrhosis, Sonography, Portal Vein Diameter, and Portal Hypertension.

What specific role does ultrasound play in this study?

Ultrasound is defined as the primary, non-invasive diagnostic tool for measuring portal vein diameter, which helps clinicians assess the presence and severity of portal hypertension.

What did the study conclude regarding portal vein diameter in cirrhotic patients?

The study concluded that the mean portal vein diameter in patients with liver cirrhosis is significantly larger (14.8mm) compared to non-cirrhotic patients (10.5mm).

Ende der Leseprobe aus 94 Seiten  - nach oben

Details

Titel
Portal vein diameter in cirrhotic and non cirrhotic patients. A sonographic comparison
Hochschule
University of Lahore  (University of Lahore)
Veranstaltung
Msc Ultrasound
Note
A+
Autor
Kiran Tahir (Autor:in)
Erscheinungsjahr
2022
Seiten
94
Katalognummer
V1316042
ISBN (PDF)
9783346793751
ISBN (Buch)
9783346793768
Sprache
Englisch
Schlagworte
portal
Produktsicherheit
GRIN Publishing GmbH
Arbeit zitieren
Kiran Tahir (Autor:in), 2022, Portal vein diameter in cirrhotic and non cirrhotic patients. A sonographic comparison, München, GRIN Verlag, https://www.grin.com/document/1316042
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