Grayscale and spectral doppler ultrasound in the diagnosis of hepatic veno-occlusive disease/sinusoidal obstruction syndrome after hematopoietic stem cell transplantation in children

dc.authorid0000-0002-5310-2858en_US
dc.contributor.authorKaya, Nusabe
dc.date.accessioned2022-01-14T12:52:15Z
dc.date.available2022-01-14T12:52:15Z
dc.date.issued2021en_US
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimlerien_US
dc.description.abstractThe aim of this study is to determine the ultrasound criteria in the diagnosis of hepatic veno-occlusive disease/sinusoidal obstruction syndrome (VOD/SOS) after hematopoietic stem cell transplantation (HSCT) in children. A total of 158 pediatric patients underwent HSCT between January 2016 and January 2018. In all, 71 patients with clinically suspicious hepatic VOD/SOS have been followed with serial ultrasound examinations. Hepatomegaly, gallbladder wall thickening, ascites, pleural effusion, reverse flow in the portal vein, and diameter and peak systolic velocity of the hepatic artery were evaluated. Patients were divided into 2 groups retrospectively: VOD/SOS and non-VOD/SOS. The predictive value of all findings was determined, respectively. Gallbladder wall thickening, increase of diameter and peak systolic velocity of the hepatic artery, and the presence of ascites are highly predictive for VOD/ SOS (P=0.001 and < 0.05). The reversed portal venous flow was developed in 3 patients in the VOD/SOS group, no significant difference was found between the 2 groups (P>0.05). Hepatomegaly was recorded in 29 (70.7%) patients in the VOD/SOS group, 13 of them was presented related to a primary disease. Pleural effusion is not associated with the diagnosis of VOD/SOS (P> 0.05). Gallbladder wall edema, an increase of peak systolic velocity of the hepatic artery, and the presence of ascites are highly related to the diagnosis of VOD/SOS in children after HSCT. Ultrasound findings must be correlated with clinical criteria.en_US
dc.identifier.citationKaya, N. (2021). Grayscale and spectral doppler ultrasound in the diagnosis of hepatic veno-occlusive disease/sinusoidal obstruction syndrome after hematopoietic stem cell transplantation in children. Journal of pediatric hematology/oncology, 43(8), e1105-e1110.en_US
dc.identifier.endpage1110en_US
dc.identifier.issue8en_US
dc.identifier.scopus2-s2.0-85120584761
dc.identifier.scopusqualityN/A
dc.identifier.startpage1105en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12939/2134
dc.identifier.volume43en_US
dc.identifier.wosWOS:000709512600018
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorKaya, Nusabe
dc.language.isoen
dc.publisherWolters Kluwer Health, Incen_US
dc.relation.ispartofJournal of Pediatric Hematology
dc.relation.isversionof10.1097/MPH.0000000000002334en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHematopoietic Stem Cell Transplantationen_US
dc.subjectHepatic Venoocclusive Diseaseen_US
dc.subjectSinusoidal Obstruction Syndromeen_US
dc.subjectUltrasounden_US
dc.titleGrayscale and spectral doppler ultrasound in the diagnosis of hepatic veno-occlusive disease/sinusoidal obstruction syndrome after hematopoietic stem cell transplantation in children
dc.typeArticle

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