Role of Serum Soluble CD163 in the Diagnosis, Risk of Bleeding, and Prognosis of Gastro-Esophageal Varices in Cirrhotic Patients

2017 ◽  
Vol 37 (3) ◽  
pp. 112-118 ◽  
Author(s):  
Rabab Fouad ◽  
Iman Hamza ◽  
Marwa Khairy ◽  
Marwa Elsharkawy ◽  
Amal A. Helmy
Keyword(s):  
Esophageal Varices ◽  
Risk Of Bleeding ◽  
Soluble Cd163 ◽  
Cirrhotic Patients

Mo1162 - Cirrhotic Patients with Hepatitic C have Higher Risk of Bleeding from Esophageal Varices

2018 ◽  
Vol 154 (6) ◽  
pp. S-693
Author(s):  
Mohammad Maysara Asfari ◽  
Sulieman Abdal Raheem ◽  
Rocio Lopez ◽  
Nizar N. Zein ◽  
Madhusudhan R. Sanaka
Keyword(s):  
Esophageal Varices ◽  
Risk Of Bleeding ◽  
Cirrhotic Patients

scholarly journals Serum Soluble CD163 as a Predictor of Esophageal Varices and Variceal Bleeding in Cirrhotic Patients

2021 ◽  
Vol 83 (1) ◽  
pp. 1629-1637
Author(s):  
Mahmoud Rizk ◽  
Ahmed Mohamed Hussein ◽  
Mohamed Abd Ellatif Afifi ◽  
Amany A. Amer
Keyword(s):  
Esophageal Varices ◽  
Variceal Bleeding ◽  
Soluble Cd163 ◽  
Cirrhotic Patients

scholarly journals Role of portal color Doppler ultrasonography as noninvasive predictive tool for esophageal varices in cirrhotic patients

2022 ◽  
Vol 53 (1) ◽  
Author(s):  
Mohamed Alaa ELdin Nouh ◽  
Mohamed Kamel Abd-Elmageed ◽  
Amany Abas Mohamed Amer ◽  
Moamena Said ELhamouly
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Esophageal Varices ◽  
Resistance Index ◽  
Cirrhotic Liver ◽  
Control Group ◽  
Predictive Tool ◽  
Endoscopic Screening ◽  
Cirrhotic Patients

Abstract Background Esophageal varices (EV) is the most common apprehensive complication of portal hypertension in patients with cirrhotic liver. Guidelines recommend Upper gastro-intestinal endoscopic screening for EV in patients with newly diagnosed chronic cirrhosis (Imperiale et al. in Hepatology 45(4):870–878, 2007). Yet, it is invasive, time consuming and costly. To avoid unnecessary endoscopy, some studies have suggested Doppler ultrasound examination as simple, and noninvasive tool in prediction and assessment of severity of EV (Agha et al. in Dig Dis Sci 54(3):654–660, 2009). Our study was to assess the role of different Doppler indices of portal vein, hepatic and splenic arteries as a noninvasive tool for prediction of esophageal varices in cirrhotic patients. Results This prospective case control study was conducted on 100 cirrhotic liver patients and 100 of healthy volunteers as control group. Patients were subjected to clinical examination, upper gastrointestinal tract endoscopy, abdominal ultrasonography with duplex Doppler evaluation of different portal Doppler hemodynamic indices were done for each patient. The results revealed that portal vein diameter, hepatic artery pulsatility index, portal hypertensive index, portal vein flow velocity, portal congestion index have high sensitivity for prediction of EV. However, Splenic artery resistance index, hepatic artery resistance index HARI, liver vascular index and platelet count/spleen diameter have less sensitivity for prediction of EV. Conclusion Measuring the portal hemodynamic indices can help physicians as noninvasive predictors of EV in cirrhotic patients to restrict the need for unnecessary endoscopic screening especially when endoscopic facilities are limited.

Non-Invasive Predictors of Esophageal Varices with a High Risk of Bleeding in Pediatric Cirrhotic Patients

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
José Ricardo Borém Lopes ◽  
Alexandre Rodrigues Ferreira ◽  
Priscila Menezes Ferri Liu ◽  
Thaís Costa Nascentes Queiroz ◽  
Eleonora Druve Tavares Fagundes ◽  
...  
Keyword(s):  
High Risk ◽  
Esophageal Varices ◽  
Non Invasive ◽  
Risk Of Bleeding ◽  
Cirrhotic Patients

scholarly journals Value of hepatic elastography and Doppler indexes for predictions of esophageal varices in liver cirrhosis

2015 ◽  
Vol 17 (1) ◽  
pp. 5 ◽  
Author(s):  
Adriana Bintintan ◽  
Romeo Ioan Chira ◽  
Vasile Virgil Bintintan ◽  
Georgiana Nagy ◽  
Roberta Maria Manzat-Saplacan ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Esophageal Varices ◽  
Statistical Power ◽  
Transient Elastography ◽  
Liver Stiffness ◽  
Abdominal Ultrasound ◽  
Non Invasive ◽  
Cirrhotic Patients ◽  
Ultrasound Parameters

Aims: Non-invasive methods are required to diagnose presence and grading of esophageal varices in patients with he- patic cirrhosis and in this respect we have evaluated the role of transient elastography and abdominal ultrasound parameters. Material and methods: Cirrhotic patients were prospectively evaluated by transient elastography and Doppler ultrasound for diagnosis of presence and grading of esophageal varices, the results being compared with the findings of the esophagogas- troduodenoscopy. Results: Sixty patients with hepatic cirrhosis were analysed. The parameters that reached statistical signifi- cance for diagnosis of esophageal varices were: liver stiffness (LSM) > 15 kPa, hemodynamic liver index (PVr1) ≥ 0.66, portal vascular resistance (PVR) > 17.66 and splenoportal index (SPI) > 4.77. The only parameter that reached statistical power for the diagnosis of large esophageal varices was LSM at a cut-off value of 28.8 kPa. Conclusions: Assessment of LSM in patients with liver cirrhosis can predict both the presence of esophageal varices and of large esophageal varices. The PVr1, PVR and SPI Doppler indexes can be used to diagnose the presence of esophageal varices but have no role in the prediction of large esophageal varices. Further studies are required to confirm these results and offer a stronger clinical significance.

scholarly journals The Role of Spleen Stiffness in Determining the Severity and Bleeding Risk of Esophageal Varices in Cirrhotic Patients

Medicine ◽  
2015 ◽  
Vol 94 (24) ◽  
pp. e1031 ◽  
Author(s):  
Hwi Young Kim ◽  
Eun Hyo Jin ◽  
Won Kim ◽  
Jae Young Lee ◽  
Hyunsik Woo ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Bleeding Risk ◽  
Spleen Stiffness ◽  
Cirrhotic Patients
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