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Fırat Tıp Dergisi
2008, Cilt 13, Sayı 3, Sayfa(lar) 194-198
[ Turkish ] [ Tam Metin ] [ PDF ]
Doppler Ultrasonographic Evaluation of Renal Blood Flow in Cirrhotic Patients
Mustafa GÜÇLÜ, Tolga YAKAR, Ender SERİN
Özel Maremar Hastanesi, Gastroenteroloji, KAHRAMANMARAŞ

Objectives: Cirrhotic patients often have various hemodynamic changes in systemic, splanchnic and renal circulation. In our study we aimed to investigate the renal vascular resistance indices of cirrhotic patients by Doppler ultrasonography.

Material and Methods: Fifty nine cirrhotic patients and 45 healthy controls were enrolled in this study. Renal vascular resistance indices (RI) of right and left kidney were measured by Doppler ultrasonography. The control group and the cirrhotic patients had similar renal function test results. The cirrhotic patients were classified according to the Child-Pugh scoring. Results: When cirrhotic patients were compared to the control group, although there were no differences in renal size and parenchymal thickness, there were significant differences in renal arterial RI (right kidney; 0,70±0,06 vs 0,61±0,03 and left kidney; 0,69±0,06 vs 0,61±0,03) and interlobar arterial RI (right kidney 0,65±0,06 vs 0,57±0,04 and left kidney 0,66±0,06 vs 0,56±0,03)(p<0.000). All the measurements of cirrhotic patients in different Child-Pugh groups were compared. Although RI values Child-Pugh B and C were higher than Child Pugh A. The only significant difference was determined in the right renal arterial RI between Child Pugh A and B groups (p=0,021). When early stage cirrhosis (Child Pugh A) and advanced cirrhosis (Child Pugh B and C) compared, right renal arterial RI were significantly increased in advanced cirrhosis (p=0,041)

Conclusion:In our study renal artery and interlober arterial RI was increased in cirrhotic patients compared with controls. ©2008, Firat University, Medical Faculty.


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