Evaluation of Non-endoscopic Parameters for the Detection of Esophageal Varices in Patients of Liver Cirrhosis, Confirmed by Endoscopy

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dc.contributor.authorBarnwal, Kuldeepen_US
dc.contributor.authorMalik, Suryakiran Kartikeyanen_US
dc.contributor.authorBhatnagar, Muktien_US
dc.contributor.authorKapoor, Rishabhen_US
dc.contributor.authorGupta, Akshitaen_US
dc.contributor.authorSaini, Arpiten_US
dc.date.accessioned2020-09-24T07:12:00Z
dc.date.available2020-09-24T07:12:00Z
dc.date.issued2020-02
dc.description.abstractIntroduction: Esophageal varices are generally the mostcommon clinical manifestation of portal hypertension inPatients of liver cirrhosis. Most common causes of deathin liver cirrhosis are hemorrhage from esophageal varices.The present study has been carried out to identify clinical,biochemical and ultrasonographic parameters which mightnon‑invasively predict the existence and the risk of varicealbleed.Material and Methods: The present prospective observationalstudy was conducted in 2 years among 100 patients sufferingfrom liver cirrhosis above 18 years of age. Detailed history,clinical examination, investigations to fulfill the inclusionand exclusion criteria of all patients was taken. Different nonendoscopic parameters were taken Plateletcount, Coagulationprofile, Ultrasonography whole abdomen, Child-PughTorcotte (CPT) Score, AST to platelet ratio index (APRI) forthe detection of esophageal varices and its grading in livercirrhosis patients which was confirmed by endoscopy.Results: There was significant association of presence ofesophageal varices in liver cirrhosis patients with presence oficterus, presence of ascites,presence of splenomegaly, gradeof Child Pugh Score, AST to Platelet rationdex (APRI score)Prothrombin Time and International Normalized Ratio(PT/INR), mean TB (mg/dl), mean spleen size.Conclusions: The result of present study concluded thatsome parameters are strongly associated with grades ofvarices and could be useful for early detection and subsequentmanagement of varices.en_US
dc.identifier.affiliationsPost Graduate Student, PG Department of Medicine, Subharti Medical College, Swami Vivekanand Subharti University Meeruten_US
dc.identifier.affiliationsAssistant Professor, Department of Medicine, Subharti Medical College, Swami Vivekanand Subharti University, Meeruten_US
dc.identifier.affiliationsProfessor, Department of Medicine, Subharti Medical College, Meeruten_US
dc.identifier.affiliationsPost Graduate Student, PG Department of Medicine, Subharti Medical College, Swami Vivekanand Subharti University, Meeruten_US
dc.identifier.affiliationsPost Graduate Student, PG Department of Medicine, Subharti Medical College, Swami Vivekanand Subharti University, Meeruten_US
dc.identifier.affiliationsPost Graduate Student, PG Department of Medicine, Subharti Medical College, Swami Vivekanand Subharti University, Meerut, Indiaen_US
dc.identifier.citationBarnwal Kuldeep, Malik Suryakiran Kartikeyan, Bhatnagar Mukti, Kapoor Rishabh, Gupta Akshita, Saini Arpit. Evaluation of Non-endoscopic Parameters for the Detection of Esophageal Varices in Patients of Liver Cirrhosis, Confirmed by Endoscopy. International Journal of Contemporary Medical Research . 2020 Feb; 7(2): b1-b4en_US
dc.identifier.issn2393-915X
dc.identifier.issn2454-7379
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202792
dc.languageenen_US
dc.publisherInternational Society for Contemporary Medical Researchen_US
dc.relation.issuenumber2en_US
dc.relation.volume7en_US
dc.source.uri​https://dx.doi.org/10.21276/ijcmr.2020.7.2.2en_US
dc.subjectEsophageal Varicesen_US
dc.subjectLiver Cirrhosisen_US
dc.subjectNon Endoscopic Parametersen_US
dc.subjectChild Pugh Scoreen_US
dc.titleEvaluation of Non-endoscopic Parameters for the Detection of Esophageal Varices in Patients of Liver Cirrhosis, Confirmed by Endoscopyen_US
dc.typeJournal Articleen_US
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