000 03216cam a2200349 a 4500
003 EG-GiCUC
005 20250223031854.0
008 171210s2017 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.31.M.Sc.2017.As.R
100 0 _aAsmaa Sayed Eissa Farrag
245 1 0 _aRole of ct portography in detection of portosystemic collaterals in portal hypertension /
_cAsmaa Sayed Eissa Farrag ; Supervised Hamed Samir Hamed Elghawaby , Tamer Mahmoud Elbaz , Marwa Shaker A. Fattah A. Allah
246 1 5 _aدور الآشعة المقطعية بالصبغة عن طريق الحقن الوريدى فى الكشف عن الضمانات البوابية المجموعية فى حالات إرتفاع ضغط دم الوريد البابى
260 _aCairo :
_bAsmaa Sayed Eissa Farrag ,
_c2017
300 _a131 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Radio-diagnosis
520 _aThe purpose of this study was to discuss the role of CT portography in detection of porto-systemic collaterals in portal hypertension and to find out a non-invasive alternative to the upper GI endoscopy for detection of the high risk esophageal varices as prophylaxis and follow up of the banded esophageal varices. Thirty(30) patients diagnosed as portal hypertension from E.R and inpatient sections of internal medicine department (31), Kasr Alaini hospitals, Cairo university and from national hepatology and tropical medicine research Institute of Cairo, were subjected to MDCT portography via helical CT scanner. Fifty (15) patients out of the 30 patients who have recent or old history of hematemesis underwent also endoscopic examination either for detection or for follow up and also for comparison. Six (6) patients out of those fifty underwent previous esophageal varices band ligationand nine (9) patients are naïvei.e no previous intervention for loco-regional treatment. Thin, axial sections and three dimensional (3-D) reconstructions, including maximum intensity projection (MIP) and Volume rendering (VR), were obtained. The findings of hematemesis patients (15) cases, in correlation with their upper GI endoscopy for GOV, were: The 9 naïve cases, 7 cases were positive for esophageal varices (OV) and 5 cases were positive for gastric varices (GV) in both modalities with 100% sensitivity of CT in detection of high risk esophageal varices category and the no esophageal varices category but inaccurate grading of the zone in-between as CT showed upgrading of 22.2% of cases from the studied naïve cases from the low/probably high risk by endoscopy into the high risk category by CT
530 _aIssued also as CD
653 4 _aPortal hypertension
653 4 _aPortal vein
653 4 _aPortosystemic collaterals
700 0 _aHamed Samir Hamed Elghawaby ,
_eSupervisor
700 0 _aMarwa Shaker Abdelfattah Abdallah ,
_eSupervisor
700 0 _aTamer Mahmoud Elbaz ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c63925
_d63925