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Review

Detailed EFSUM recommendations on the scope of ultrasound assessment in patients with portal hypertension considering the diagnostic reference level

. Therefore, the aim of this paper was to transfer the recommendations of the European Federation of Societies for Ultrasound in Medicine and Biology, which determine the range of the evaluated ultrasonographic parameters in portal hypertension depending on the diagnostic reference level, into Polish reality. European healthcare institutions are characterized by a clear three-level reference network. Due to the lack of a similar division in Poland, we propose our own classification of the competence of

Andrzej Smereczyński, Katarzyna Kołaczyk

Journal of Ultrasonography , ISSUE 69, 113–115

Review Article

Clinical applications of spleen ultrasound elastography – a review

infected with hepatitis B virus or hepatitis C virus and in patients suffering from liver fibrosis, portal hypertension, esophageal varices or myelofibrosis. In this article, we review the role and current status of accessible qualitative ultrasound elastography methods, including recent advances in the evaluation of spleen stiffness and its clinical utility. As study results demonstrate, spleen stiffness correlates with liver fibrosis and is helpful in determining the level of fibrosis in the METAVIR

Rafał Mazur, Milena Celmer, Jurand Silicki, Daniel Hołownia, Patryk Pozowski, Krzysztof Międzybrodzki

Journal of Ultrasonography , ISSUE 72, 37–41

Review

Standards of the Polish Ultrasound Society. Ultrasound examination of the portal system and hepatic vessels

Increased incidence of liver diseases, the development of liver surgery and other invasive methods for managing portal hypertension, plus an increasing number of liver transplant procedures pose more and more new challenges for ultrasonography. Ultrasonography,being an effective and clinically verifi ed modality, has been used for several decades for diagnosing diseases of the liver, its vessels and portal hypertension. It is used for both initial and specialist diagnosis (performed in

Robert Lechowicz, Michał Elwertowski

Journal of Ultrasonography , ISSUE 61, 208–226

research-article

Correlation between portal vein diameter and craniocaudal length of the spleen

the stomach, spleen, and pancreas into the portal vein(27). In the case of hepatic congestion, resistance occurs in the blood flow of portal vein and ultimately splenic vein(28,29). Pressure build-up in the portal vein due to the excessive amount of blood pooling which causes portal hypertension and ultimately increases in portal vein diameter(30). On the other hand, blood congestion in the spleen causes splenomegaly, therefore splenomegaly is correlated to portal vein diameter(31). Apart from the

Shah Zaman, Syed Amir Gilani, Raham Bacha, Iqra Manzoor, Zain Ul Hasan

Journal of Ultrasonography , ISSUE 79, 276–281

Review

Visceral artery aneurysms – classification, diagnosis and treatment

its location and may involve intraperitoneal hemorrhage, gastrointestinal and portal system bleeding with concomitant portal hypertension and bleeding from esophageal varices. Wide access to diagnostic tests, for example ultrasound, computed tomography or magnetic resonance imaging, helps establish the correct diagnosis and a therapeutic plan as well as select appropriate treatment. After a procedure, the same diagnostic tools enable assessment of treatment efficacy, or are used for the monitoring

Ewa Piasek, Michał Sojka, Maryla Kuczyńska, Łukasz Światłowski, Anna Drelich-Zbroja, Olga Furmaga, Tomasz Jargiełło

Journal of Ultrasonography , ISSUE 73, 148–151

Case report

Case report: four donors with granulocyte-specific or HLA class I antibodies implicated in a case of transfusion-related acute lung injury (TRALI)

A 54-year-old female patient with a history of chronic liver disease and portal hypertension was admitted for an elective cholecystectomy. Preoperative evaluation revealed a prolonged prothrombin time of 17.4 seconds (control 12 to 15.5 seconds). Six units of fresh frozen plasma (FFP) were prescribed after failure of correction of the coagulopathy with intravenous vitamin K (10 mgs). During infusion of the fifth unit of FFP, the patient became acutely dyspneic. Arterial blood gas analysis

A. Davoren, O.P. Smith, C.A. Barnes, E. Lawler, R.G. Evans, G.F. Lucas

Immunohematology , ISSUE 4, 117–121

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