scholarly journals Liver Elastography as a Predictor of Esophageal Varices in Patients With Cirrhosis

Cureus ◽  
2021 ◽  
Author(s):  
Muhammad Danish ◽  
Hina Ismail ◽  
Rani Tulsi ◽  
Nasir Mehmood ◽  
Syed Muddasir Laeeq ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Liver Elastography

P.04.3 SPLEEN AND LIVER ELASTOGRAPHY AS A NON-INVASIVE TOOL FOR DETECTION OF ESOPHAGEAL VARICES IN PATIENTS WITH LIVER CIRRHOSIS

2019 ◽  
Vol 51 ◽  
pp. e172 ◽  
Author(s):  
D. Macor ◽  
M. Giuffrè ◽  
F. Tinè ◽  
F. Masutti ◽  
C. Abazia ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Esophageal Varices ◽  
Non Invasive ◽  
Liver Elastography

scholarly journals Ultrasound elastography of the liver for assessing the risk of complications of its cirrhosis of different etiologies

2017 ◽  
Vol 89 (2) ◽  
pp. 38-44 ◽  
Author(s):  
N Yu Stukova ◽  
Yu A Kucheryavyi ◽  
E A Mayevskaya ◽  
I V Maev
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis B ◽  
Esophageal Varices ◽  
Predictive Value ◽  
Monitoring Program ◽  
Mortality Prediction ◽  
Ultrasound Elastography ◽  
Threshold Values ◽  
Nonalcoholic Fatty Liver ◽  
Liver Elastography

Aim. To study the results of dynamic liver ultrasound elastography (LUE) in assessing the risk of complications of liver cirrhosis (LC) of different etiologies and to elaborate a monitoring program for estimation of the predictive value of elastography in patients with LC. Subjects and methods. A total of 194 patients with LC of different etiologies, including 56 patients with alcoholic cirrhosis, 48 with LC and an outcome of nonalcoholic fatty liver disease, 53 with LC and an outcome of chronic hepatitis C, 23 with LC and an outcome of chronic hepatitis B, and 14 with an outcome of coinfection with hepatitis B and D viruses, were examined. An analysis was made between the presence of a number of LC complications and the results of LUE, by constructing the receiver operating characteristic (ROC) curves to select LUE threshold values, in which there was a high risk for LC complications (esophageal varices, bleeding esophageal varices, hepatic encephalopathy, and ascites). Results. The investigation could obtain liver elastography threshold values expressed in kilopascals (kPa), which were proposed for use as a prognostic sign of the presence of complications caused by LC and assessed liver elastography threshold values for its mortality prediction. The predictive value of positive LUE results in determining the risk of different complications was 75.7 to 92.5%; that of negative results was 70 to 92.9%. An algorithm for individualized diagnostic and treatment policy was elaborated in relation to the liver elastography results obtained during the primary examination of a patient. Conclusions. The dynamic LUE findings in patients with LC of different etiologies suggest that the proposed LUE threshold values are efficient and may be used in practical healthcare, which will be able to timely correct management tactics for a patient and to monitor his treatment.

Polycystic Liver: An Unusual Cause of Bleeding Esophageal Varices

1961 ◽  
Vol 40 (1) ◽  
pp. 128-137 ◽  
Author(s):  
Carl M. Sedacca ◽  
Eugene Perrin ◽  
Lester Martin ◽  
Leon Schiff
Keyword(s):  
Esophageal Varices ◽  
Bleeding Esophageal Varices ◽  
Polycystic Liver

Liver Elastography in Healthy Children Using Three Different Systems – How Many Measurements Are Necessary?

2020 ◽  
Author(s):  
Anders Batman Mjelle ◽  
Anesa Mulabecirovic ◽  
Roald Flesland Havre ◽  
Edda Jonina Olafsdottir ◽  
Odd Helge Gilja ◽  
...  
Keyword(s):  
Shear Wave ◽  
Transient Elastography ◽  
Intraclass Correlation ◽  
Age Groups ◽  
Liver Stiffness ◽  
Shear Wave Elastography ◽  
Healthy Children ◽  
Significant Difference ◽  
Pediatric Liver Disease ◽  
Liver Elastography

Abstract Purpose Liver elastography is increasingly being applied in screening for and follow-up of pediatric liver disease, and has been shown to correlate well with fibrosis staging through liver biopsy. Because time is of the essence when examining children, we wanted to evaluate if a reliable result can be achieved with fewer acquisitions. Materials and Methods 243 healthy children aged 4–17 years were examined after three hours of fasting. Participants were divided into four age groups: 4–7 years; 8–11 years; 12–14 years and 15–17 years. Both two-dimensional shear wave elastography (2D-SWE; GE Logiq E9) and point shear wave elastography (pSWE; Samsung RS80A with Prestige) were performed in all participants, while transient elastography (TE, Fibroscan) was performed in a subset of 87 children aged 8–17 years. Median liver stiffness measurement (LSM) values of 3, 4, 5, 6, 7, and 8 acquisitions were compared with the median value of 10 acquisitions (reference standard). Comparison was performed for all participants together as well as within every specific age group. We investigated both the intraclass correlation coefficient (ICC) with absolute agreement and all outliers more than 10 %, 20 % or ≥ 0.5 or 1.0 kPa from the median of 10 acquisitions. Results For all three systems there was no significant difference between three and ten acquisitions, with ICCs ≥ 0.97. All systems needed 4 acquisitions to achieve no LSM deviating ≥ 1.0 kPa of a median of ten. To achieve no LSM deviating ≥ 20 % of a median of ten acquisitions, pSWE and TE needed 4 acquisitions, while 2D-SWE required 6 acquisitions. Conclusion Our results contradict recommendations of 10 acquisitions for pSWE and TE and only 3 for 2D-SWE.

PREDICTIVE FACTORS OF ESOPHAGEAL VARICES RECURRENCE AFTER PROPHYLACTIC ENDOSCOPIC BAND LIGATION

2018 ◽  
Author(s):  
J Pereira Rodrigues ◽  
S Fernandes ◽  
L Proença ◽  
M Sousa ◽  
JC Silva ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Esophageal Varices ◽  
Band Ligation ◽  
Endoscopic Band Ligation
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