CORRELATION BETWEEN LIVER STIFFNESS SCORE & ENDOSCOPIC ASSESSMENT OF PORTAL HYPERTENSION IN PATIENTS OF CHRONIC LIVER DISEASE

Dr. Shailendra K. Jain; Dr. Shishirendu S. Parihar; Dr. K. Deopujari; Dr. Swati Jain; Dr. R. K. Jain; Dr. K. K. Kawre

Volume : VII, Issue : III, March - 2018

CORRELATION BETWEEN LIVER STIFFNESS SCORE & ENDOSCOPIC ASSESSMENT OF PORTAL HYPERTENSION IN PATIENTS OF CHRONIC LIVER DISEASE

Dr. Shailendra K. Jain, Dr. Shishirendu S. Parihar, Dr. K. Deopujari, Dr. Swati Jain, Dr. R. K. Jain, Dr. K. K. Kawre

Abstract :

We correlated the liver stiffness score obtained on the fioscan and the grading of esophageal varices (OVs) as done by the endoscopy in patients with chronic liver disease. We performed a cross–sectional study on the patients diagnosed with chronic liver disease (on the basis of Clinical, Radiological & Biochemical Parameter). We collected patient‘s demographic data and routine investigation reports (liver function test, renal function test, coagulation profile, P_T/INR) Fioscan and endoscopy results obtained so far. Total 76 patients were included in our study of which 64 were male (84.2%) 12 were female (15.8%). Hepatitis B came out as the most common Etiological condition for the CLD. 32 patients of the study cohort (42.1%) reported to have hepatitis B related CLD . The mean stiffness of the study cohort was found to be 42.7 Kpa on the fioscan. The scores obtained correlates well with the grading of esophageal varices as identified endoscopically and fits well when calculated statiscally (r= 0.515 & P< 0.001). Hence our study concludes that fioscan (liver stiffness score) can predict the grading of varices in patients with cirrhosis.