Valsalva and orthostatic maneuvers increase liver stiffness (Fibroscan®) in healthy volunteers
S Adolf, G Millonig, S Friedrich, HK Seitz, S Mueller · Zeitschrift für Gastroenterologie · 2010 · Heft 01
Bibliografische Angaben
Zusammenfassung
Background and Objective: Liver stiffness (LS) has emerged as novel noninvasive parameter to screen for liver cirrhosis. However, other factors such as venous pressure also increase LS independent of fibrosis stage and no normal LS has been defined yet. Our aim was to study physiological conditions such as position changing and breath maneuvers on LS. Results and Methods: Measuring LS in reclined position yields the lowest and most reproducible LS of 4.7 kPa±1.3 kPa. Upright position and Valsalva maneuver independently increased LS with an enormous variability. In 20% of individuals, sitting and standing positio…