Multi-Detector Computed Tomography in Diagnosis of Esophageal and Fundal Varices in Cirrhotic Patients
Abdelmawgoud, M., El- Shewi, M., Al-Shatouri, M., Abouzaid, M. (2021). Multi-Detector Computed Tomography in Diagnosis of Esophageal and Fundal Varices in Cirrhotic Patients. EKB Journal Management System, 38(2), 580-589. doi: 10.21608/bmfj.2021.69273.1401
Magdy Abdelmawgoud; Mohammed El-Sayed El- Shewi; Mohammad Al-Shatouri; Mohamed Abouzaid. "Multi-Detector Computed Tomography in Diagnosis of Esophageal and Fundal Varices in Cirrhotic Patients". EKB Journal Management System, 38, 2, 2021, 580-589. doi: 10.21608/bmfj.2021.69273.1401
Abdelmawgoud, M., El- Shewi, M., Al-Shatouri, M., Abouzaid, M. (2021). 'Multi-Detector Computed Tomography in Diagnosis of Esophageal and Fundal Varices in Cirrhotic Patients', EKB Journal Management System, 38(2), pp. 580-589. doi: 10.21608/bmfj.2021.69273.1401
Abdelmawgoud, M., El- Shewi, M., Al-Shatouri, M., Abouzaid, M. Multi-Detector Computed Tomography in Diagnosis of Esophageal and Fundal Varices in Cirrhotic Patients. EKB Journal Management System, 2021; 38(2): 580-589. doi: 10.21608/bmfj.2021.69273.1401

Multi-Detector Computed Tomography in Diagnosis of Esophageal and Fundal Varices in Cirrhotic Patients

Benha Medical Journal
Article 15, Volume 38, Issue 2, July 2021, Page 580-589  XML PDF (676.07 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2021.69273.1401
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Authors
Magdy Abdelmawgoud1; Mohammed El-Sayed El- Shewi2; Mohammad Al-Shatouri3; Mohamed Abouzaid email 4
1Gastroenterology & Hepatology Department, Faculty of Medicine-Benha University
2Hepatology, Gastroenterology and Infectious diseases Department, Faculty of Medicine, Benha University, Benha, Egypt.
3Hepatology, Gastroenterology & Infectious Diseases Faculty of Medicine, Banha University
4Hepatology, Gastroenterology & Infectious Diseases Faculty of Medicine, Banha University
Abstract
Background: Esophageal varices is one of the most common complication of liver cirrhosis, which lead to hematemesis with high morbidity and mortality rates. this study aimed to assess the role of triphasic computed tomography (CT) scan in detection and grading of esophageal varices (EV) and gastric varices (GV) compared to endoscopy. Patients and methods: A cross-sectional study was conducted on 35 patients (26 male & 9 female) who had cirrhosis. All patients were referred to perform triphasic abdominal CT scan then upper gastro-intestinal (UGI) endoscopy. Results: We have noticed that there is only 1 patient had oesophageal varices confirmed by UGI endoscopy not seen in CT. while there were 15 patients confirmed by endoscopy and CT. There is only 1 patient had gastric varix confirmed by UGI endoscopy not seen in CT. while there were 8 patients confirmed by endoscopy and CT. CT has 88.9 sensitivity comparing to endoscopy and 100 specificity with 97.14 accuracy with highly significant p value (p < 0.05). CT detected 8 positive cases of gastric varices and one negative case while EGD detected 9 positive cases. So CT has 88.9 sensitivity comparing to endoscopy and 100 specificity with 97.14 accuracy with highly significant p value (p < 0.05). Conclusion: CT scan could be used as independent method for diagnosis of gastric and esophageal varices.
Keywords
CT; Esophageal; Varices Cirrhotic; liver
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