Prediction of large esophageal varices in cases with cirrhosis of liver: A non-invasive approach

Abstract

Background: Development of esophageal varices and gastrointestinal bleeding represents a serious consequence in patients with cirrhosis of the liver and portal hypertension. The present study was conducted to assess prediction of large esophageal varices in cases with cirrhosis of liver. Materials & Methods: 40 cirrhotic patients of both genders underwent ultrasonographic examination of the upper abdomen. The presence and degree of ascites and encephalopathy were assessed according to Child-Pugh criteria. Results: There were 30 males and 10 females. Alcohol was Cause of cirrhosis in 18, hepatitis B in 16 and others in 6. Child Pugh score was 7, total bilirubin was 28.1 μmol/L, albumin was 32.4 g/L and ALT was 41.2 IU/L. The difference was significant (P< 0.05). Child-Pugh score, total bilirubin and albumin level were significantly associated with the presence of LEV (P< 0.05). Conclusion: Child-Pugh score, total bilirubin and albumin level may be predictor of large esophageal varices in cases with cirrhosis of liver.