CORRELATION OF PORTAL VEIN DIAMETER, SPLENOMEGALY AND THROMBOCYTOPENIA WITH GASTRO-ESPOHAGEAL VARICES IN CIRRHOTIC PATIENTS
Dr. Inderpal Singh*, Dr. Rishabh Sehgal, Dr. Harsimranjit Singh and Dr. Puneet Chuchra
ABSTRACT
Background: Portal hypertension is one of the complication of chronic liver disease due to cirrhosis liver. Portal vein diameter, Splenomegaly and Thrombocytopenia can be used as Non- Invasive markers for the presence of Gastro-esophageal Varices in cirrhotic patients. Early detection of Gastro-Esophageal Varices can prevent the UGI Variceal bleed in cirrhotic patients. In this article it is established that the correlation of portal vein diameter, splenomegaly and thrombocytopenia with Gastro-Esophageal Varices helps in early detection of gastro-esophageal Varices. Method: Our study was conducted on 100 patients of cirrhosis and investigations for platelet count, Ultrasonography for Portal vein Diameter and Upper GI endoscopy for Esophageal varices detection. Results: Our Study demonstrated that thrombocytopenia, presence of portal hypertension with splenomegaly and portal vein diameter are strong predictors of developing gastro-esophageal varices in cirrhotic patients. Conclusion: In cirrhotic patients Gastro-esophageal varices has direct correlation with Portal hypertension and inverse correlation with platelet count.
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