An analysis of extravariceal collaterals of gastric varices using magnetic resonance angiography in portal hypertensive patients

Chul Hee Park, Hoon-Jai Chun, Rok Sun Jeong, Kyung Ho Kim, Yong Sik Kim, Young Sun Kim, Yoon Tae Jeen, Hong Sik Lee, Soon-Ho Um, Sang Woo Lee, Jai Hyun Choi, Chang Duck Kim, Ho Sang Ryu, Jin Hai Hyun

Research output: Contribution to journalArticle

Abstract

BACKGROUND/AIMS: This study was aimed to analyze the relationship between gastric varices and its collaterals using magnetic resonance angiography (MRA) and to assess the usefulness of MRA in studies of portosystemic circulation. METHODS: Eighty-one patients who had portal hypertension with gastric varices took MRA before the therapy for gastric varices. RESULTS: The types of collaterals observed by MRA were left gastric vein in 67 patients (83%), short gastric vein in 28 (35%), gastrorenal shunt in 25 (31%), and splenorenal shunt in 14 (17%). In most of patients with advanced gastric varices, the size of left gastric vein was larger than others. In most cases of large gastric varices, the short gastric vein ranged between 5 to 10 mm. Gastrorenal shunt was also correlated with the size of gastric varices. The types of more prominent esophageal varices showed a right type (left gastric vein predominance), but the types of more prominent gastric varices or only the gastric varices showed a left type (posterior or short gastric vein predominance) (p<0.05). CONCLUSIONS: Gadolinium enhanced 3D-MRA can contribute to the study of the hemodynamic relationships between gastric vein and the collateral circulations by presenting more clear images for patients with portal hypertension.

Original languageEnglish
Pages (from-to)313-321
Number of pages9
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume42
Issue number4
Publication statusPublished - 2003 Jan 1

Fingerprint

Esophageal and Gastric Varices
Magnetic Resonance Angiography
Veins
Stomach
Portal Hypertension
Surgical Splenorenal Shunt
Collateral Circulation
Gadolinium
Hemodynamics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An analysis of extravariceal collaterals of gastric varices using magnetic resonance angiography in portal hypertensive patients. / Park, Chul Hee; Chun, Hoon-Jai; Jeong, Rok Sun; Kim, Kyung Ho; Kim, Yong Sik; Kim, Young Sun; Jeen, Yoon Tae; Lee, Hong Sik; Um, Soon-Ho; Lee, Sang Woo; Choi, Jai Hyun; Kim, Chang Duck; Ryu, Ho Sang; Hyun, Jin Hai.

In: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, Vol. 42, No. 4, 01.01.2003, p. 313-321.

Research output: Contribution to journalArticle

Park, Chul Hee ; Chun, Hoon-Jai ; Jeong, Rok Sun ; Kim, Kyung Ho ; Kim, Yong Sik ; Kim, Young Sun ; Jeen, Yoon Tae ; Lee, Hong Sik ; Um, Soon-Ho ; Lee, Sang Woo ; Choi, Jai Hyun ; Kim, Chang Duck ; Ryu, Ho Sang ; Hyun, Jin Hai. / An analysis of extravariceal collaterals of gastric varices using magnetic resonance angiography in portal hypertensive patients. In: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi. 2003 ; Vol. 42, No. 4. pp. 313-321.
@article{dd7e5cc65bbd482580c7a508949d95e1,
title = "An analysis of extravariceal collaterals of gastric varices using magnetic resonance angiography in portal hypertensive patients",
abstract = "BACKGROUND/AIMS: This study was aimed to analyze the relationship between gastric varices and its collaterals using magnetic resonance angiography (MRA) and to assess the usefulness of MRA in studies of portosystemic circulation. METHODS: Eighty-one patients who had portal hypertension with gastric varices took MRA before the therapy for gastric varices. RESULTS: The types of collaterals observed by MRA were left gastric vein in 67 patients (83{\%}), short gastric vein in 28 (35{\%}), gastrorenal shunt in 25 (31{\%}), and splenorenal shunt in 14 (17{\%}). In most of patients with advanced gastric varices, the size of left gastric vein was larger than others. In most cases of large gastric varices, the short gastric vein ranged between 5 to 10 mm. Gastrorenal shunt was also correlated with the size of gastric varices. The types of more prominent esophageal varices showed a right type (left gastric vein predominance), but the types of more prominent gastric varices or only the gastric varices showed a left type (posterior or short gastric vein predominance) (p<0.05). CONCLUSIONS: Gadolinium enhanced 3D-MRA can contribute to the study of the hemodynamic relationships between gastric vein and the collateral circulations by presenting more clear images for patients with portal hypertension.",
author = "Park, {Chul Hee} and Hoon-Jai Chun and Jeong, {Rok Sun} and Kim, {Kyung Ho} and Kim, {Yong Sik} and Kim, {Young Sun} and Jeen, {Yoon Tae} and Lee, {Hong Sik} and Soon-Ho Um and Lee, {Sang Woo} and Choi, {Jai Hyun} and Kim, {Chang Duck} and Ryu, {Ho Sang} and Hyun, {Jin Hai}",
year = "2003",
month = "1",
day = "1",
language = "English",
volume = "42",
pages = "313--321",
journal = "The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi",
issn = "1598-9992",
publisher = "Korean Society of Gastroenterology",
number = "4",

}

TY - JOUR

T1 - An analysis of extravariceal collaterals of gastric varices using magnetic resonance angiography in portal hypertensive patients

AU - Park, Chul Hee

AU - Chun, Hoon-Jai

AU - Jeong, Rok Sun

AU - Kim, Kyung Ho

AU - Kim, Yong Sik

AU - Kim, Young Sun

AU - Jeen, Yoon Tae

AU - Lee, Hong Sik

AU - Um, Soon-Ho

AU - Lee, Sang Woo

AU - Choi, Jai Hyun

AU - Kim, Chang Duck

AU - Ryu, Ho Sang

AU - Hyun, Jin Hai

PY - 2003/1/1

Y1 - 2003/1/1

N2 - BACKGROUND/AIMS: This study was aimed to analyze the relationship between gastric varices and its collaterals using magnetic resonance angiography (MRA) and to assess the usefulness of MRA in studies of portosystemic circulation. METHODS: Eighty-one patients who had portal hypertension with gastric varices took MRA before the therapy for gastric varices. RESULTS: The types of collaterals observed by MRA were left gastric vein in 67 patients (83%), short gastric vein in 28 (35%), gastrorenal shunt in 25 (31%), and splenorenal shunt in 14 (17%). In most of patients with advanced gastric varices, the size of left gastric vein was larger than others. In most cases of large gastric varices, the short gastric vein ranged between 5 to 10 mm. Gastrorenal shunt was also correlated with the size of gastric varices. The types of more prominent esophageal varices showed a right type (left gastric vein predominance), but the types of more prominent gastric varices or only the gastric varices showed a left type (posterior or short gastric vein predominance) (p<0.05). CONCLUSIONS: Gadolinium enhanced 3D-MRA can contribute to the study of the hemodynamic relationships between gastric vein and the collateral circulations by presenting more clear images for patients with portal hypertension.

AB - BACKGROUND/AIMS: This study was aimed to analyze the relationship between gastric varices and its collaterals using magnetic resonance angiography (MRA) and to assess the usefulness of MRA in studies of portosystemic circulation. METHODS: Eighty-one patients who had portal hypertension with gastric varices took MRA before the therapy for gastric varices. RESULTS: The types of collaterals observed by MRA were left gastric vein in 67 patients (83%), short gastric vein in 28 (35%), gastrorenal shunt in 25 (31%), and splenorenal shunt in 14 (17%). In most of patients with advanced gastric varices, the size of left gastric vein was larger than others. In most cases of large gastric varices, the short gastric vein ranged between 5 to 10 mm. Gastrorenal shunt was also correlated with the size of gastric varices. The types of more prominent esophageal varices showed a right type (left gastric vein predominance), but the types of more prominent gastric varices or only the gastric varices showed a left type (posterior or short gastric vein predominance) (p<0.05). CONCLUSIONS: Gadolinium enhanced 3D-MRA can contribute to the study of the hemodynamic relationships between gastric vein and the collateral circulations by presenting more clear images for patients with portal hypertension.

UR - http://www.scopus.com/inward/record.url?scp=2142746420&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2142746420&partnerID=8YFLogxK

M3 - Article

C2 - 14634351

AN - SCOPUS:2142746420

VL - 42

SP - 313

EP - 321

JO - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi

JF - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi

SN - 1598-9992

IS - 4

ER -