Role of non invasive parameters in assessing the severity of esophagogastric varices in patients with portal hypertension

Author: 
Mudumala Issac Abhilash., Varunmai N L., Shravan Kumar P., Uma Devi M., Sai Krishna K and Rohan P Reddy

Introduction: One of the main complications of cirrhosis of the liver is “portal hypertension.” The term portal hypertension was first coined by Gilbert and Villaret in 1906 when cirrhosis and high portal pressure were linked pathophysiologically.
Materials and Methods: The study comprised 30 portal hypertensive patients who were submitted in Gastroenterology wards of Gandhi Hospital, Hyderabad, Telangana State, between February 2012 and July 2013. A detailed clinical history was recorded regarding age, sex, duration of symptoms such as jaundice, distension of abdomen, hematemesis, and melena.
Results: The present study was carried out in the Department of Gastroenterology, Gandhi Hospital, Hyderabad, between February 2012 and July 2013. 30 portal hypertensive patients were recruited in this study. A detailed clinical history was recorded in each patient regarding age, sex, duration of symptoms, and history of alcohol intake.
Discussion: In the present study, 30 portal hypertensive patients were assessed with ultrasonography (USG) and fibreoptic upper gastrointestinal (GI) endoscopy. Various USG parameters were compared with the severity of varices as detected by upper GI endoscopy.
Conclusion: USG of the abdomen is a simple, convenient, and non-invasive method for assessing the severity of portal hypertensive patients and to predict the severity of esophagogastric varices indirectly.

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DOI: 
DOI: http://dx.doi.org/10.24327/ijcar.2017.6314.0916
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