A STUDY OF CORRELATION OF PORTAL VEIN DIAMETER AND SPLEEN SIZE WITH GASTRO-ESOPHAGEAL VARICES IN PORTAL HYPERTENSION - A CROSS SECTIONAL OBSERVATIONAL STUDY

DR JAGDISH CHOUDHARY; DR KISHAN GOPAL BARUPAL

Volume : VIII, Issue : X, October - 2018

A STUDY OF CORRELATION OF PORTAL VEIN DIAMETER AND SPLEEN SIZE WITH GASTRO-ESOPHAGEAL VARICES IN PORTAL HYPERTENSION - A CROSS SECTIONAL OBSERVATIONAL STUDY

Dr Jagdish Choudhary, Dr Kishan Gopal Barupal

Abstract :

Introduction – Cirrhosis is responsible for 1.1% of all deaths as estimated by WHO.Portal hypertension is considered an advanced complication of cirrhosis. Upper gastrointestinal endoscopy is required to detect the gastro–esophageal varices. But the procedure is invasive, painful to the patient, and is not available in all centers. To reduce the number of unnecessary endoscopies in patients with cirrhosis but without varices, several studies have evaluated possible non–invasive markers of esophageal varices in patients with cirrhosis. Study Design – A cross–sectional observational study. Method and Material –The patients had confirmed or suspected cases of portal hypertension were selected for study according to inclusion and exclusion criteria. Result – All patient having large varices had portal vein diameter ≥13 mm.The all 21 patients with large varices had spleen size ≥14 cm.Out of 36 patients with small grade varices 30 (83.33%) had spleen size ≥14 cm. Out of 57 patients 49 (85.96%) who had varices, majority had platelet count less than 1,50,000.Conclusion – These non–invasive parameters can significantly predict the presence of esophageal varices and can be used as surrogate markers for the presence of varices where endoscopic facilities not available.