Early diagnostics of metabolic syndrome on the basis of non-invasive visualization of the hepatopancreatobiliary system organs
The article presents the results of a study conducted to identify early significant markers of metabolic syndrome (MS) based on non-invasive visualization of the internal organs of the abdominal cavity. The study included 125 people, 100 people of the main group were divided into two subgroups. Subgroup I – patients with normative values of body mass index (BMI), but with increased indices of the waist circumference / hip circumference; II – with increased BMI and waist circumference / hip circumference. The control group consisted of 25 people. According to the analysis of the obtained results of this study, a direct relationship was revealed between the BMI value, the indicator of abdominal obesity (waist circumference / hip circumference) and changes in the ultrasonic echostructure of the liver, pancreas, linear dimensions of the liver and the stiffness of the liver tissue. The early signs of MS included:
1. Increased echogenicity and decreased sound conductivity of the liver structure.
2. Hepatomegaly (an increase in the linear dimensions of the liver: craniovertical size (right lobe) more than 150 mm, craniocaudal size (left lobe) more than 100 mm, caudate lobe more than 54 mm) was detected in 51 people of subgroup II (40.8 %) (p < 0.05).
3. Changes in the ultrasonic structure of the contents and wall of the gallbladder, polyposis.
4. Increasing the echogenicity of the pancreatic tissue.