Objective: Recent guidelines recommend that all cirrhotic patients should undergo endoscopic screening for esophageal varices. That identifying cirrhotic patients with esophageal varices by non ivasive predictors would allow for the restriction of the performance of endoscopy to patients with a high risk of having varices,. This study aimed to indentify and evaluate non invasive parameters as predictor of large esophageal varices in cirrhotic patients. Methods: 2011-2012: 112 patients were included in this study, diagnosied as cases of liver cirrhosis. Gastroscopy for evaluation of the presence and grade of OV and Fibro Scan, platelet, AST/ALT ratio, APRI, FORNS were assessed in all patients.. Results: A significant correlation was seen between OV grade and change FS (r=0.552) Platelet (r=-0.553), FORNS (r=0.513) were similar however superior to AAR (r=0403)APRI (r=0.284). Using cut off values of 27.7kPa for FS,113 for Platelet; 1.6 for AAR,9.5 FORNS to diagnosis of large varices with AU ROC 0,79; 0,74; 0,88; 0,77. Using cut off values 58.3kPa kpa, 2.5 AAR to predict variceal haemorrhage. Conclusion: FS, Platelet, AAR, FORNS were simples and non invasive biochemical markers to predict the presence of large varice with AUROC0,7.
- Đăng nhập để gửi ý kiến