platelet count/bipolar spleen diameter ratio for the prediction of esophageal varices: the special egyptian situation

نویسندگان

mona a abu el makarem department of internal medicine, minia university, egypt +20-862366553, [email protected]; department of internal medicine, minia university, egypt +20-862366553, [email protected]

mohamed e shatat department of internal medicine, minia university, egypt

yehya shaker department of internal medicine, minia university, egypt

ahmad a abdel aleem department of internal medicine, minia university, egypt

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Platelet count/bipolar spleen diameter ratio for the prediction of esophageal varices: The special Egyptian situation

BACKGROUND Esophageal variceal hemorrhage is a devastating complication of portal hypertension that occurs in approximately one-third of cirrhotic patients. OBJECTIVES We assessed the value of the platelet count/ bipolar spleen diameter ratio as a noninvasive parameter for the prediction of esophageal varices (EVs) in Egyptian cirrhotic patients. PATIENTS AND METHODS Laboratory and ultrason...

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Platelet count/spleen diameter ratio predicted the presence of esophageal varices in liver cirrhosis.

Thanks to Dr. Daniel J. Brotman of the Cleveland Clinic Foundation for pointing out an error in the confidence interval for sensitivity in “Platelet count/spleen diameter ratio predicted the presence of esophageal varices in liver cirrhosis” (1). The correct values appear in the Table. Operating characteristics of platelet count/spleen diameter ratio (cutpoint ≤ 909 for a positive diagnosis) fo...

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Can platelet count/spleen diameter ratio be used for cirrhotic children to predict esophageal varices?

AIM To determine the laboratory and radiologic parameters, including the platelet count (PC)-to-spleen diameter (SD) ratio as a non-invasive marker that may predict the presence of esophageal varices (EV) in children with cirrhosis. METHODS Eighty-nine patients with cirrhosis, but without a history of variceal bleeding were prospectively included. The children were grouped into 6-12 and 12-18...

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Platelet count/spleen diameter ratio as a predictor of esophageal varices in cirrhotic patients.

This letter regards the very interesting paper published in Annals of Hepatology 2009; 8(4): 325-30 by Barrera, et al.1 The authors emphasize an important matter, which is the burden of frequently endoscopying cirrhotic patients in order to verifying for the presence of esophageal varices (EV) and indicating the proper prophylaxis to avoid bleeding. They evaluate the platelet count/spleen diame...

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Platelet Count Squared/spleen Diameter-aspartate Aminotransferase Ratio: Non-invasive Method to Predict Esophageal Varices.

BACKGROUND - Variceal bleeding has a high mortality among cirrhotics, and screening with endoscopy is indicated at the diagnosis of cirrhosis. Screening with endoscopy implies discomfort, risks and considerable costs. OBJECTIVE - To evaluate platelet count squared/spleen diameter-aspartate aminotransferase ratio (PS/SA), as a non-invasive predictor of esophageal varices in cirrhotics. METHO...

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Multidetector computed tomography versus platelet/spleen diameter ratio as methods for the detection of gastroesophageal varices

BACKGROUND All patients with liver cirrhosis should undergo screening endoscopy, but there are limitations and this approach places a heavy burden upon endoscopy units. The aim of this study was to compare multidetector computed tomography (MDCT) and the platelet/spleen diameter ratio as non-invasive methods for the detection of gastroesophageal varices. METHODS The study included 38 cirrhoti...

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عنوان ژورنال:
hepatitis monthly

جلد ۱۱، شماره ۴، صفحات ۲۷۸-۲۸۴

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