| Secondary gastric varices in hepatic cirrhosis. | |
| | |
MedLine Citation:
|
PMID: 22015118 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Objective: To determine the frequency of secondary gastric varices after esophageal variceal eradication in patients with cirrhosis of liver and factors associated with their development. Study Design: Observational study. Place and Duration of Study: The Department of Gastroenterology, Liaquat University Hospital, Jamshoro and Isra University Hospital Hyderabad, from September 2007 to July 2009. Methodology: Consecutive patients with decompensated cirrhosis of liver were subjected to endoscopy for management of varices. Endoscopic variceal band ligation was done in all patients. Secondary gastric varices were noted at surveillance. Receiver-operating characteristic (ROC) curves were used to determine the cut off values of secondary gastric varices and various factors influencing the development of gastric varices after eradication with the best sensitivity and specificity. Results: Of the 162 patients; 46 (28.3%) were females and 116 (71.7%) males. The mean age was 45 ±13 years. Fundal varices were present before eradication in 12 (7.4%) patients and after eradication of varices in 38 (23.5%) patients. A strong association was found between gastric varices after eradication and Child Pugh class (p=0.001), grade of varices at the time of presentation (p=0.024), increasing number of sessions for eradication of esophageal varices (p=0.001) and presence of gastric varix at the time of first presentation (p=0.009). Conclusion: Secondary gastric varices are common in cirrhosis. A significant association with Child-Pugh class, presenting grade, increasing number of ligation session and prior existence was seen in the studied group. |
| | |
Authors:
|
Shaikh Samiullah; Muhammad Sadik Memon; Hanif Ghani Memon; Amir Ghori |
Related Documents
:
|
682678 - Prospective analysis of psoriatic arthritis in patients hospitalized for psoriasis. 22300488 - Use of wireless motility capsule to determine gastric emptying and small intestinal tra... 17023808 - Low frequency of anticyclic citrullinated peptide antibodies in psoriatic arthritis but... 22833838 - A dyspnea patient with abnormal prolonged prothrombin time and activated partial thromb... 20433278 - Stereotactic radiosurgery for intractable cluster headache: an initial report from the ... 6280898 - The steroid response to controlled adrenal stimulation in congenital adrenal hyperplasia. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP Volume: 21 ISSN: 1681-7168 ISO Abbreviation: J Coll Physicians Surg Pak Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-10-21 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9606447 Medline TA: J Coll Physicians Surg Pak Country: Pakistan |
Other Details:
|
Languages: eng Pagination: 593-6 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro/Hyderabad. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Helicobacter pylori in Dental Plaque; Is it Related to Brushing Frequency, Plaque Load and Oral Heal...
Next Document: Non-dermatophyte moulds as pathogens of onychomycosis.