Liver Chirrhosis – Ultrasound Aspects of Portal Circulation

Doppler ultrasound is a non-invasive method for assessing vascular port system. The aim is to study the changes in structure of the liver with the portal flow in patients with cirrhosis. Evolution of liver cirrhosis with portal hypertension makes the essential changes of portal vein. One of the objectives of the study was the investigation of the Doppler axis spleno-portal hemodynamics, evaluated and analyzed in relation to liver functional reserve, which we estimated classified as Child Pugh. Our study followed 187 patients with cirrhosis and portal hypertension. The study is retrospective, based on analysis of inpatient observation sheets in County Emergency Hospital, Timisoara, during the last five years. Sectional area of the hepatic portal vein is another criterion for evaluation of patients with cirrhosis area we reported a study in functional classes: Child class "A" → VP sectional area = 175 mm class Child "B” → sectional area VP = 236 mm; Child class "C” → VP sectional area = 183 mm.