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Document Type

Original Article

Abstract

Background: About 40% of people with hepatic cirrhosis also developed oesophageal varices. The most serious portosystemic shunts caused by portal hypertension are O.V. Aim and objectives:The goal of the study was to establish whether or not the gall bladder wall thickness (GBWT) is a reliable, non-invasive predictor of EV in people who have cirrhosis.Subjects and methods: From August 15, 2022, through March 1, 2023, 120 patients with chronic liver disorders and liver cirrhosis were recruited from the inpatient and outpatient clinics at Sayed Galal Hospital. Two groups of patients were created, one with OV and one without. Sixty cirrhotic patients without OV (Non-OV group) and sixty cirrhotic cases with OV (OV group) were studied. The results revealed that the area under the curves (AUCs) for both the GBWT and the Platelet count to splenic diameter ratio were highly selective (p0.05).There was a significant correlation among OV & (Child- pugh score, PHG, Platelet count, INR, Albumin, WBC, HB, GBWT (mm), Spleenic diameter (mm), PV diameter (mm), and Platelet count to spleenic diameter ratio, GBWT (mm), Spleenic diameter (mm), and PV diameter (mm)). Conclusion Given the correlation between GBWT and OV size, it may be possible to employ this non-invasive technique for predicting the existence of OV. The ratio of platelets to splenic longitudinal diameter (PLT/SLD) did not differentiate between OV patients and healthy controls.

Keywords

Gall Bladder Wall Thickness; Esophageal Varices; Cirrhosis

Subject Area

Internal Medicine

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