[Clinical significance of the cine-portogram in patients with portal hypertension].

A cine-portogram is a new diagnostic modality in portal system. The main purpose of this study is to assess the clinical significance of cine-portogram in patients with portal hypertension. Portal hemodynamics have been evaluated by cine-portogram in 28 patients with portal hypertension. Portal hemodynamics have been analysed in the following five main diagnostic findings: portal hepatic perfusion, hemodynamics of coronary vein, dominance of gastric vein or short gastric vein, extension of varices in lower esophago-proximal gastric region, and route of draining vein of esophageal varices. The grade of portal hepatic perfusion has been evaluated in all cases by cine-portogram. Hemodynamics of coronary vein have been evaluated in 78% of patients. Dominance of the left gastric vein or short gastric vein has been evaluated in 84% of patients. Extension of varices in lower esophago-proximal gastric lesion and route of draining vein of esophageal varices have been evaluated by only cine-portogram. In conclusion, the cine-portogram is a new and useful diagnostic modality for the evaluation of portal hemodynamics in patients with portal hypertension.