"A STUDY OF CORRELATION OF PORTAL VEIN DIAMETER AND SPLEEN SIZE WITH GASTRO-ESOPHAGEAL VARICES IN PORTAL HYPERTENSION“ – A CROSS SECTIONAL OBSERVATIONAL STUDY

Dr Jagdish Choudhary, Dr Kishan Gopal Barupal

Abstract


INTRODUCTION - Cirrhosis is responsible for 1.1% of all deaths as estimated by WHO. Portal hypertension is
considered an advanced complication of cirrhosis. Upper gastrointestinal endoscopy is required to detect the gastroesophageal
varices. But the procedure is invasive, painful to the patient, and is not available in all centers. To reduce the number of unnecessary
endoscopies in patients with cirrhosis but without varices, several studies have evaluated possible non-invasive markers of esophageal varices in
patients with cirrhosis.
STUDY DESIGN – A cross-sectional observational study.
METHOD AND MATERIAL – The patients had conrmed or suspected cases of portal hypertension were selected for study according to
inclusion and exclusion criteria.
RESULT - All patient having large varices had portal vein diameter ≥13 mm. The all 21 patients with large varices had spleen size ≥14 cm. Out of
36 patients with small grade varices 30 (83.33%) had spleen size ≥14 cm. Out of 57 patients 49 (85.96%) who had varices, majority had platelet
count less than 1,50,000.
CONCLUSION - These non-invasive parameters can signicantly predict the presence of esophageal varices and can be used as surrogate
markers for the presence of varices where endoscopic facilities not available.


Keywords


portal hypertension, spleen size, upper gastrointestinal endoscopy

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