Study Of Renovascular Impedance In Type 2 Diabetic Patients with And Without Post viral Hepatitis Cirrhosis

Document Type : Original Article

Authors

1 internal medicine department.faculty of medicine.sohag university hospital

2 internal medicine, Sohag FACULTY OF MEDICINE, sohag university

3 internal medicine department. faculty of medicine.sohag university hospital

Abstract

Abstract
Background:- Renal failure is a common consequence of cirrhotic patients, which is correlated to raised mortality and morbidity. Diabetes is common among cirrhotic patients. Hepatic encephalopathy and hepatocellular carcinoma, ascites, renal dysfunction, and bacterial infections are all possible complications. . T2DM induces liver fibrosis and inflammation, which leads to more severe liver failure and is a strong predictor of death from cirrhosis.
Objective: The goal of this research is to find out more about renovascular resistance in patients with type 2 DM and with liver cirrhosis by using renal Doppler indices (RI and PI ).
Results: The CD-Group (cirrhotic and diabetic patients) and D-Group (diabetic ) patients showed higher resistance indexes (RIs)
than those in the C-Group(cirrhotic patients). Similarly, the CD-Group(cirrhotic and diabetic patients) and D-Group(diabetic ) had significantly greater pulsatility indices than the C-Group. Our findings suggest that, regardless of the severity of the liver illness, hyperglycemia may cause an increase in renal Doppler indices in cirrhotic patients.
Conclusion: Diabetes has a significant unfavorable impact on the kidney health of people with liver cirrhosis.
Keywords: liver cirrhosis. Type 2 Diabetes mellitus, renal Doppler indices, renal failure.

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