الفهرس | Only 14 pages are availabe for public view |
Abstract All patients was subjected to: 1- Full and detailed history. 2- Complete clinical examination:. 3- Laboratory investigations: -Renal function tests (serum creatinine, blood urea) - Liver function tests including: aspartate transaminase, alanine Transaminase, alkaline phosphatase, total proteins, serum albumin, serum Bilirubin . -Complete blood picture including platelet count 4 - Abdominal ultrasonography and measerment of spleen bipolar diameter. 5 - Calculation of the platelet count/bipolar spleen diameter ratio. 6 - Upper gastro-intestinal Endoscopy The results were statistically analysed and tabulated and reveald that the patients were 56 (56%) males and 44 (44%) females; their ages ranged from 38-80 years old with a mean value of 54.95 years. They were classified into two groups according to the presence or absence of oesophageal varices. The platelet count/ bipolar spleen diameter ratio cut off with the best sensitivity and for prediction of oesophageal varices( O.V) was determined and was (898). 93 Summary and conclusion The use of platelet count/ bipolar spleen diameter ratio in prediction of O.V would be cost effective,simple and applicable. 94 Summary and conclusion Conclusion from the present study we can conclude that: o Platelet count /bipolar spleen diameter ratio (898) is a simple, accurate, sensitive and cost effective non invasive parameter for prediction of oesophageal varices in cirrhotic patients regardless the grade of cirrhosis. o There is no relation between Child grades and the presence of oesophageal varices 95 Summary and conclusion Recommendation from the presnt study we can recommend that: Patients with liver cirrhosis should be assessed when first seen for the presence of oesophageal varices. Regular use of platelet count / bipolar spleen diameter ratio as a cost effective non invasive parameter for prediction of oesophageal varices in cirrhotic patients.(cut off > 898 is a good negative predictive test) Upper gastrointestinal endoscopy should be limited for cirrhotic patients probably have oesophageal varices according to results of non invasive parameters ( platelet count /bipolar spleen diameter ratio < 898). |