Diagnostic evaluation of hepatopulmonary syndrome in egyptian children with chronic liver disease
المؤلفون المشاركون
Awad, Muhyi al-Din Abd al-Aziz
al-Arabi, Hana Ahmad
al-Sharnoubi, Khalid Abd al-Salam
Abu Diwan, Khalid Abd al-Wahhab
المصدر
Journal of the Egyptian Society of Parasitology
العدد
المجلد 44، العدد 1 (30 إبريل/نيسان 2014)، ص ص. 97-112، 16ص.
الناشر
الجمعية المصرية لعلم الطفيليات
تاريخ النشر
2014-04-30
دولة النشر
مصر
عدد الصفحات
16
التخصصات الرئيسية
الموضوعات
الملخص EN
-There are few data on prevalence of hepatopulmonary syndrome (HPS) in children with chronic liver disease (CLD).
This prospective study evaluated the prevalence and diagnostic procedures of HPS in Egyptian children with CLD.
One hundred twenty (120) children with CLD were subjected to room-air pulse oximetry in supine and upright position, contrast enhanced echocardiography (CEE) and technetium-99m–labeled macroaggregated albumin (99mTc-MAA) perfusion lung scan.
Arterial blood gas (ABG) analysis in upright position was performed for all children with identified intrapulmonary vascular dilatation (IPVD).
Clinical, laboratory, imaging and endoscopic data were recorded and analyzed.
Results: Hypoxemia was found in 14 cases (11.7%) of the total cohort all of them had IPVD, whereas 6 cases (5%) of the patients had IPVD without hypoxemia.
Therefore, HPS and subclinical HPS were diagnosed in 11.7% and 5% of CLD patients, respectively.
Only 10 HPS patients had a pathological arterial oxygen saturation (SaO2) in the supine position (≤97%) but all showed a pathological SaO2 decrease (≥4%) after changing from supine to upright position.99mTc-MAA perfusion lung scan revealed IPVD in 16.7% whereas CEE detected IPVD in 10% only of enrolled patients.
There were strong correlations between shunt index estimated by lung scintiscan and oxygenation parameters in HPS patients.
The characteristics of HPS patients were similar to that of non-HPS patients except for clubbing, dyspnea, cyanosis, orthodoexia and bleeding varices that were more associated with HPS patients as well as well as the Child-Pugh grades, which tended toward higher scores in HPS patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Awad, Muhyi al-Din Abd al-Aziz& al-Arabi, Hana Ahmad& al-Sharnoubi, Khalid Abd al-Salam& Abu Diwan, Khalid Abd al-Wahhab. 2014. Diagnostic evaluation of hepatopulmonary syndrome in egyptian children with chronic liver disease. Journal of the Egyptian Society of Parasitology،Vol. 44, no. 1, pp.97-112.
https://search.emarefa.net/detail/BIM-364280
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Awad, Muhyi al-Din Abd al-Aziz…[et al.]. Diagnostic evaluation of hepatopulmonary syndrome in egyptian children with chronic liver disease. Journal of the Egyptian Society of Parasitology Vol. 44, no. 1 (Apr. 2014), pp.97-112.
https://search.emarefa.net/detail/BIM-364280
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Awad, Muhyi al-Din Abd al-Aziz& al-Arabi, Hana Ahmad& al-Sharnoubi, Khalid Abd al-Salam& Abu Diwan, Khalid Abd al-Wahhab. Diagnostic evaluation of hepatopulmonary syndrome in egyptian children with chronic liver disease. Journal of the Egyptian Society of Parasitology. 2014. Vol. 44, no. 1, pp.97-112.
https://search.emarefa.net/detail/BIM-364280
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes appendix : p. 112
رقم السجل
BIM-364280
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر