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العنوان
Qualitative and Quantitative Ultrasound Parameters for Predicting the Presence of Oesophageal Varices in Cirrhotic Patients/
المؤلف
Nada,Michael George Sami
هيئة الاعداد
باحث / مايكل جورج سامي ندا
مشرف / أحمد شوقى الصوابي
مشرف / ايهاب حسن نشأت
مشرف / سارة عبد القادر النقيب
تاريخ النشر
2017
عدد الصفحات
202.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - Internal Medicine
الفهرس
Only 14 pages are availabe for public view

from 202

from 202

Abstract

Oesophageal varices are the one of the most common and serious complications of portal hypertension, the main fear lies in their rupture with a relatively high incidence of mortality.
This can be prevented through regular screening with primary or secondary prophylaxis with banding or injection of present varices before complicating. However till now, the most reliable screening method for the diagnosis of the presence of varices is through upper gastrointestinal endoscopy.
This implies a considerable burden for endoscopy units and an increased number of unpleasant procedures for patients since less than 50% of cirrhotic patients undergoing screening for varices have varices at the time.
Studies have been directed towards finding a better non-invasive method to diagnose the presence of oesophageal varices with the same accuracy as endoscopy, sparing its need to only patients who would require intervention.
Our study was a prospective cohort study that was conducted in AinShams university hospitals on 60 patients with liver cirrhosis of any aetiology, collected from the hepatology outpatient clinic or inpatients admitted in the hospital.
This aim of the study was to determine the predictive value of qualitative and quantitative non-invasive abdominal ultrasound parameters in detecting the presence of oesophageal varices.
All subjects enrolled in the study were subjected to detailed history taking, full physical examination, laboratory investigations, imaging studies which included pelvi-abdominal ultrasonography assessing qualitative and quantitative parameters followed by upper gastrointestinal endoscopy for correlation.