Parameters of microsomal and cytosolic liver function but not of liver perfusion predict portal vein velocity in noncirrhotic patients with chronic hepatitis C
C. Herold et al., Parameters of microsomal and cytosolic liver function but not of liver perfusion predict portal vein velocity in noncirrhotic patients with chronic hepatitis C, DIG DIS SCI, 45(11), 2000, pp. 2233-2237
Our aim was to compare color-coded Doppler sonography (CCDS) and quantitati
ve testing of liver function (QTLF) in patients with chronic hepatitis C. I
n all, 74 patients with chronic hepatitis C and mild fibrosis underwent QTL
F, which included aminopyrine breath test (ABT), galactose elimination capa
city (CEC), sorbitol clearance (SC), and indocyanine green clearance (ICG).
Hepatic artery velocity and resistance index (HA-V, HA-RI) as well as port
al vein velocity (PV-V) were measured by CCDS. ABT, GEC, and PV-V were sign
ificantly reduced, whereas SCl, ICG, HA-V, and HA-RI showed normal levels.
There was a significant correlation between reduction in PV-V only with GEC
and ABT. QTLF did not correlate with WA-V and IIA-RI. In conclusion, in he
patitis C patients with liver fibrosis, ABT and GEC are decreased significa
ntly, which was paralleled by a reduction of PV-V. Unexpectedly SCl and ICG
, the classical hepatic perfusion parameters, do not correlate with the par
ameters measured by CCDS.