Platelet Count/Spleen Diameter Ratio and Shear-Wave Elastography for Non-Invasive Prediction of High- Risk Varices: Can We Delay Screening Endoscopy for Compensated Cirrhosis?


Yegin E. G. , Karatay E., Celik G., ALDAĞ B. , TÜNEY D. , ÖZDOĞAN O. C.

HEPATITIS MONTHLY, vol.17, no.12, 2017 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 12
  • Publication Date: 2017
  • Doi Number: 10.5812/hepatmon.57226
  • Title of Journal : HEPATITIS MONTHLY

Abstract

Background: Periodic Upper Gastrointestinal Endoscopy (UGIE) for Oesophageal Varices (OVs) is recommended in all compensated cirrhotic patients. The prevalence of early stage cirrhosis is on the rise with the contribution of non-invasive models for liver fibrosis. The healthcare system needs to focus on cost-effective surveillance strategies re-channelling its efforts for high-risk OVs. This study evaluated whether non-invasive means for prediction of high-risk OVs could limit UGIEs among the the Child-Pugh class A cirrhosis population.