الفهرس 
Manifestations and complications of cirrhosisOnly 14 pages are availabe for public view
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Abstract
SUMMARY AND CONCLUSION Prediction of EV presence or its grade in cirrhotic patients is an important issue, as nearly 5–15% of patients get EV every year, with subsequent increasing incidence of variceal bleeding which is the most dangerous life threatening complication of liver cirrhosis with PH. EGD is feared to be performed by some patients either due to its invasiveness, cost, possibility of transmission of infections, or complications of anesthesia. Several trials were done to offer a non-invasive substitute for EGD and sparing its use for therapeutic indications only after prediction of either EV presence or the grade with the non-invasive method. Elastography of liver; specially using TE; is widely studied, used, and correlated with EV, but new modalities of US elastography as p-SWE and 2D-SWE, and SS are under research. This study was designed to assess the role of LS and SS using US p-SWE elastography to predict presence of EV and its degree if present in cirrhotic patients. This study was conducted on 120 cirrhotic patients recruited from Tanta University Hospitals, Internal Medicine Department, Gastroenterology and Hepatology Unit, after getting the approval of ethical committee. Patients with any of the following criteria were excluded from the study: 1) Past history of endoscopic treatment for GEVs, including endoscopic injection and/or ligation that might affect the hemodynamics of the portal circulation, 2) Patients have TIPS, 3) Presence of a PV thrombus confirmed by US and color Doppler study, 4) Past history of partial splenic embolization or splenectomy, 5) Past history of any liver surgery, 6) Patients with HCC.