ACCURACY OF MELD-NA SCORE AND OTHER NON-INVASIVE PREDICTORS OF ESOPHAGEAL VARICES STATUS IN EGYPTIAN PATIENTS WITH LIVER CIRRHOSIS | ||||
Journal of the Egyptian Society of Parasitology | ||||
Article 29, Volume 50, Issue 2, August 2020, Page 447-452 PDF (952.57 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/jesp.2020.113109 | ||||
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Authors | ||||
RASHA SAMIR MOHAMED1; MOHAMED LOTFY SOLIMAN1; WEAL S. ELGHARABAWY2; MANAL SABRY MOHAMED1 | ||||
1Department of Internal Medicine | ||||
2Department of Anesthesia | ||||
Abstract | ||||
Esophageal varices (OV) are a serious and common complication of portal hypertension associated with liver cirrhosis. Hemorrhage from OV rupture is a life-threatening complication with high mortality. The model for end stage liver disease (MELD), MELD-Na+ scores are predictors of non-transplant surgical mortality among patients with cirrhosis and has been a useful tool predicting the mortality in patients awaiting liver transplantation. As well, they have been suggested in many studies as useful predictors of OV presence and severity. This study evaluated accurate cut-off values of MELD-Na and aspartate aminotransferase to platelet count ratio index (APRI), AST/ALT (AAR), creatinine (ASR/Cr) as well as AST/ Bilirubin (AST/Bil.) ratios as new non-invasive predictors for liver cirrhosis patients. | ||||
Keywords | ||||
Patients; esophageal varices; MELD score; APRI; AAR; Non-invasive predictors; platelet count | ||||
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