الفهرس | Only 14 pages are availabe for public view |
Abstract The current studies recommend the screening of all cirrhotic patients by endoscopy, but repeated endoscopic examinations are unpleasant for patients and have a high cost impact and burden on endoscopic units. The aim of this study is to evaluate the accuracy of using right liver lobe size/serum albumin ratio as a new non-invasive predictor of esophageal varices in patients with HCV-related liver cirrhosis. Methods: This prospective study included 30 patients with liver cirrhosis and 30 patients without liver cirrhosis. All studied subjects underwent a detailed clinical examination, biochemical workup, upper gastrointestinal endoscopy and abdominal ultrasound. The right liver lobe/serum albumin ratio for all patients were calculated. Results: Right liver lobe/albumin ratio demonstrated a high statistically significant correlation with the presence of esophageal varices. Conclusion: The use of Right liver lobe/serum albumin ratio can help physicians by restricting the use of endoscopic screening only to patients presenting a high probability of esophageal varices. This is especially useful in clinical settings where resources are limited and endoscopic facilities are not present in all areas. |