The selected 115 patients underwent USG (ultrasonography) of abdomen and splenic size was measured and documented, followed by screening endoscopy for esophageal varices
Patients were categorized as cirrhotic and non-cirrhotic types, with a further subclassification of the non-cirrhotic type into acute and chronic PVT, depending on the image of cavernoma transformation (formation of collateral blood vessels) or evidence of PH including splenomegaly and esophageal varices
, as features of chronic PVT.
Hepatic doppler ultrasound in assessment of the severity of esophageal varices
in cirrhotic patients.
Endoscopy was performed to detect esophageal varices
in the patients.
Main reason for endoscopy in these cases was upper G I bleed followed by screening for esophageal varices
and surveillance of EVBL.
This is because of the exclusion of group of patients presenting with bleeding secondary to esophageal varices
and other severe comorbid conditions, as presence of co-morbidity is a well-known cause of increased mortality.
Clinical characteristics were summarized in terms of frequency and percentages for qualitative variables (Gender, HBsAg, Anti HCV, HCV RNA on start of treatment, end of treatment, sustained response and on followup to see the outcome (patients stable or developed, ascites, esophageal varices
, hepatoma etc), mean S.
Chronic hepatitis is provoked by the hepatitis B virus which is one of the main causes of liver cancer, cirrhosis and other complications such as esophageal varices
Patients with cirrhosis should be educated about complications of their condition, including ascites, esophageal varices
, hepatic encephalopathy, hepatorenal syndrome, spontaneous bacterial peritonitis, and hepatocellular carcinoma (HCC).
sup] Although a number of surgical procedures have been developed to manage esophageal varices
, DSRS with splenopancreatic disconnection plus gastric transection was considered as an adequate treatment for patients with esophagogastric varices.
It is believed that bacterial infections are particularly likely to develop in patients with advanced liver cirrhosis (Child-Pugh high score), bleeding from esophageal varices
, low levels of protein in ascites and those who had previous episodes of spontaneous bacterial peritonitis [6, 7].
Isolated gastric varices are defined as gastric varices without esophageal varices
Dieterich: If they're Child A cirrhotics, you could use simeprevir/sofosbuvir, provided they're screened for esophageal varices
and for hepatocellular carcinoma and screened for transplant.
Both conditions predispose to cirrhosis (where the liver tissue is destroyed and replaced by liver tissue), which in turn, gives rise to esophageal varices
(enlarged veins in the esophagus that can rupture and bleed), liver failure and liver cancer.
The evolving role of endoscopic treatment of esophageal varices