Alcoholic liver disease echocardiography or ultrasound: Difference between revisions
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==Overview== | ==Overview== | ||
[[Echocardiography]]/[[ultrasound]] may be helpful in the diagnosis of alcoholic liver disease. Since [[ultrasound]] is a non invasive technique it is used for initial evaluation of the [[liver]]. Findings on an [[ultrasound]] are suggestive of underlying [[liver]] disease but they can not confirm the etiology. However [[ultrasound]] can be used to exclude other causes of abnormal [[liver]] tests in patients who abuse [[alcohol]]; infiltrative disease, [[neoplastic disease]], obstructive [[biliary]] [[pathology]], [[cirrhosis]] or screen for [[hepatocellular carcinoma]]. [[Echocardiography]] can be used to detect hepatic [[cardiomyopathy]] and the severity of volume overload in cirrhotic patients. | |||
[[Echocardiography]]/[[ultrasound]] may be helpful in the diagnosis of | |||
==Echocardiography/Ultrasound== | ==Echocardiography/Ultrasound== | ||
*[[Echocardiography]]/[[ultrasound]] may be helpful in the diagnosis of | *[[Echocardiography]]/[[ultrasound]] may be helpful in the diagnosis of alcoholic liver disease. Findings on an [[echocardiography]]/[[ultrasound]] suggestive of underlying [[liver]] disease include: | ||
**[[Ultrasound]]:<ref name="pmid11511876">{{cite journal |vauthors=Vilgrain V |title=Ultrasound of diffuse liver disease and portal hypertension |journal=Eur Radiol |volume=11 |issue=9 |pages=1563–77 |year=2001 |pmid=11511876 |doi=10.1007/s003300101050 |url=}}</ref><ref name="pmid16477402">{{cite journal |vauthors=Valls C, Iannacconne R, Alba E, Murakami T, Hori M, Passariello R, Vilgrain V |title=Fat in the liver: diagnosis and characterization |journal=Eur Radiol |volume=16 |issue=10 |pages=2292–308 |year=2006 |pmid=16477402 |doi=10.1007/s00330-006-0146-0 |url=}}</ref><ref name="pmid16716779">{{cite journal |vauthors=Palmentieri B, de Sio I, La Mura V, Masarone M, Vecchione R, Bruno S, Torella R, Persico M |title=The role of bright liver echo pattern on ultrasound B-mode examination in the diagnosis of liver steatosis |journal=Dig Liver Dis |volume=38 |issue=7 |pages=485–9 |year=2006 |pmid=16716779 |doi=10.1016/j.dld.2006.03.021 |url=}}</ref><ref name="pmid3080046">{{cite journal |vauthors=Saverymuttu SH, Joseph AE, Maxwell JD |title=Ultrasound scanning in the detection of hepatic fibrosis and steatosis |journal=Br Med J (Clin Res Ed) |volume=292 |issue=6512 |pages=13–5 |year=1986 |pmid=3080046 |pmc=1338970 |doi= |url=}}</ref> | **[[Ultrasound]]:<ref name="pmid11511876">{{cite journal |vauthors=Vilgrain V |title=Ultrasound of diffuse liver disease and portal hypertension |journal=Eur Radiol |volume=11 |issue=9 |pages=1563–77 |year=2001 |pmid=11511876 |doi=10.1007/s003300101050 |url=}}</ref><ref name="pmid16477402">{{cite journal |vauthors=Valls C, Iannacconne R, Alba E, Murakami T, Hori M, Passariello R, Vilgrain V |title=Fat in the liver: diagnosis and characterization |journal=Eur Radiol |volume=16 |issue=10 |pages=2292–308 |year=2006 |pmid=16477402 |doi=10.1007/s00330-006-0146-0 |url=}}</ref><ref name="pmid16716779">{{cite journal |vauthors=Palmentieri B, de Sio I, La Mura V, Masarone M, Vecchione R, Bruno S, Torella R, Persico M |title=The role of bright liver echo pattern on ultrasound B-mode examination in the diagnosis of liver steatosis |journal=Dig Liver Dis |volume=38 |issue=7 |pages=485–9 |year=2006 |pmid=16716779 |doi=10.1016/j.dld.2006.03.021 |url=}}</ref><ref name="pmid3080046">{{cite journal |vauthors=Saverymuttu SH, Joseph AE, Maxwell JD |title=Ultrasound scanning in the detection of hepatic fibrosis and steatosis |journal=Br Med J (Clin Res Ed) |volume=292 |issue=6512 |pages=13–5 |year=1986 |pmid=3080046 |pmc=1338970 |doi= |url=}}</ref> | ||
***Appearance of [[fat]] on the [[liver]] is variable | ***Appearance of [[fat]] on the [[liver]] is variable | ||
***Hyperechoic texture is suggestive of [[fatty liver]] | ***Hyperechoic texture is suggestive of [[fatty liver]] | ||
***Hyperechoic mass is suggestive of [[macroscopic]] [[fat]] on the [[liver]] | ***Hyperechoic [[Mass (medicine)|mass]] is suggestive of [[macroscopic]] [[fat]] on the [[liver]] | ||
***The [[sensitivity]] and [[Specificity (tests)|specificity]] for detecting [[hepatic steatosis]] is only increased when there is greater than thirty percent [[fat]] in the [[liver]] | ***The [[sensitivity]] and [[Specificity (tests)|specificity]] for detecting [[hepatic steatosis]] is only increased when there is greater than thirty percent [[fat]] in the [[liver]] | ||
***A coarsened echo pattern is suggestive of [[hepatic]] fibrosis | ***A coarsened echo pattern is suggestive of [[hepatic]] fibrosis | ||
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**[[Echocardiography]]:<ref name="pmid24936479">{{cite journal |vauthors=Moaref A, Zamirian M, Yazdani M, Salehi O, Sayadi M, Aghasadeghi K |title=The Correlation between Echocardiographic Findings and QT Interval in Cirrhotic Patients |journal=Int Cardiovasc Res J |volume=8 |issue=2 |pages=39–43 |year=2014 |pmid=24936479 |pmc=4058482 |doi= |url=}}</ref> | **[[Echocardiography]]:<ref name="pmid24936479">{{cite journal |vauthors=Moaref A, Zamirian M, Yazdani M, Salehi O, Sayadi M, Aghasadeghi K |title=The Correlation between Echocardiographic Findings and QT Interval in Cirrhotic Patients |journal=Int Cardiovasc Res J |volume=8 |issue=2 |pages=39–43 |year=2014 |pmid=24936479 |pmc=4058482 |doi= |url=}}</ref> | ||
***Increased left [[Ventricle (heart)|ventricular]] end [[diastolic]] dimension (LVEDD) in cirrhotic patients | ***Increased left [[Ventricle (heart)|ventricular]] end [[diastolic]] dimension (LVEDD) in cirrhotic patients | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category: | | ||
{{WS}} | |||
{{WH}} | |||
[[Category:Surgery]] | |||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Hepatology]] | [[Category:Hepatology]] | ||
[[Category:Medicine]] | |||
[[Category:Radiology]] | |||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
Echocardiography/ultrasound may be helpful in the diagnosis of alcoholic liver disease. Since ultrasound is a non invasive technique it is used for initial evaluation of the liver. Findings on an ultrasound are suggestive of underlying liver disease but they can not confirm the etiology. However ultrasound can be used to exclude other causes of abnormal liver tests in patients who abuse alcohol; infiltrative disease, neoplastic disease, obstructive biliary pathology, cirrhosis or screen for hepatocellular carcinoma. Echocardiography can be used to detect hepatic cardiomyopathy and the severity of volume overload in cirrhotic patients.
Echocardiography/Ultrasound
- Echocardiography/ultrasound may be helpful in the diagnosis of alcoholic liver disease. Findings on an echocardiography/ultrasound suggestive of underlying liver disease include:
- Ultrasound:[1][2][3][4]
- Appearance of fat on the liver is variable
- Hyperechoic texture is suggestive of fatty liver
- Hyperechoic mass is suggestive of macroscopic fat on the liver
- The sensitivity and specificity for detecting hepatic steatosis is only increased when there is greater than thirty percent fat in the liver
- A coarsened echo pattern is suggestive of hepatic fibrosis
- A nodular liver contour is suggestive of hepatic cirrhosis
- Echocardiography:[5]
- Increased left ventricular end diastolic dimension (LVEDD) in cirrhotic patients
- Ultrasound:[1][2][3][4]
References
- ↑ Vilgrain V (2001). "Ultrasound of diffuse liver disease and portal hypertension". Eur Radiol. 11 (9): 1563–77. doi:10.1007/s003300101050. PMID 11511876.
- ↑ Valls C, Iannacconne R, Alba E, Murakami T, Hori M, Passariello R, Vilgrain V (2006). "Fat in the liver: diagnosis and characterization". Eur Radiol. 16 (10): 2292–308. doi:10.1007/s00330-006-0146-0. PMID 16477402.
- ↑ Palmentieri B, de Sio I, La Mura V, Masarone M, Vecchione R, Bruno S, Torella R, Persico M (2006). "The role of bright liver echo pattern on ultrasound B-mode examination in the diagnosis of liver steatosis". Dig Liver Dis. 38 (7): 485–9. doi:10.1016/j.dld.2006.03.021. PMID 16716779.
- ↑ Saverymuttu SH, Joseph AE, Maxwell JD (1986). "Ultrasound scanning in the detection of hepatic fibrosis and steatosis". Br Med J (Clin Res Ed). 292 (6512): 13–5. PMC 1338970. PMID 3080046.
- ↑ Moaref A, Zamirian M, Yazdani M, Salehi O, Sayadi M, Aghasadeghi K (2014). "The Correlation between Echocardiographic Findings and QT Interval in Cirrhotic Patients". Int Cardiovasc Res J. 8 (2): 39–43. PMC 4058482. PMID 24936479.