Prediction of Oesophageal Varices in Cirrhotic Patients by Serum- Ascites Albumin Gradient
marakbi, A., Abdalla, T., abdel monem, S., Pasha, H. (2020). Prediction of Oesophageal Varices in Cirrhotic Patients by Serum- Ascites Albumin Gradient. EKB Journal Management System, 26(1), 99-107. doi: 10.21608/zumj.2019.16241.1465
Ahmed marakbi; Taghrid mohamed Abdalla; sameh mahmoud abdel monem; Heba Fouad Pasha. "Prediction of Oesophageal Varices in Cirrhotic Patients by Serum- Ascites Albumin Gradient". EKB Journal Management System, 26, 1, 2020, 99-107. doi: 10.21608/zumj.2019.16241.1465
marakbi, A., Abdalla, T., abdel monem, S., Pasha, H. (2020). 'Prediction of Oesophageal Varices in Cirrhotic Patients by Serum- Ascites Albumin Gradient', EKB Journal Management System, 26(1), pp. 99-107. doi: 10.21608/zumj.2019.16241.1465
marakbi, A., Abdalla, T., abdel monem, S., Pasha, H. Prediction of Oesophageal Varices in Cirrhotic Patients by Serum- Ascites Albumin Gradient. EKB Journal Management System, 2020; 26(1): 99-107. doi: 10.21608/zumj.2019.16241.1465

Prediction of Oesophageal Varices in Cirrhotic Patients by Serum- Ascites Albumin Gradient

Zagazig University Medical Journal
Article 12, Volume 26, Issue 1, January and February 2020, Page 99-107  XML PDF (790.73 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.16241.1465
View on SCiNiTO View on SCiNiTO
Authors
Ahmed marakbi email 1; Taghrid mohamed Abdalla2; sameh mahmoud abdel monem3; Heba Fouad Pashaorcid 4
1Tropical department, Faculty of medecine , Zagazig University, Egypt.
2Tropical Department , Faculty of Medicine,Zagazig University ,Egypt
3Tropical department, Faculty of Medicine,Zagazig University . Egypt.
4Medical Biochemistry Department , Faculty of Medicine,Zagazig University. Egypt.
Abstract
Abstract
Background and aim of the work: Portal hypertension (PHT) and the eventual Oesophageal varices (OV) is one of the awful complications of liver cirrhosis. Bleeding from OV is a real leading cause of death. This study aims at evaluating serum ascites albumin gradient (SAAG) as a predictor of OV. Patients and methods: A descriptive cross-sectional study was conducted on 105 males and 26 females where they were divided into two main groups and sub groups according to the presence and size of OV. All participants were subjected to full history taking, thorough clinical examination, laboratory investigations, liver function tests, complete blood count, kidney function tests, hepatitis markers: HCV-Ab (anti hepatitis c virus antibody) hepatitis B surface antigen (HBs-Ag), abdominal ultrasonography and abdominal diagnostic paracentesis with calculation of SAAG. Results: there is highly significant increased SAAG in cirrhotic patients with OV than those without. Moreover, SAAG increases significantly with the grade of O.V. Conclusion: Serum ascites albumin gradient (SAAG) could be used as a non-invasive predictor for the presence of O.V in cirrhotic patients with ascites. Moreover, SAAG value increased significantly with the progression of O.V.
Keywords
Key words: esophageal varices; serum ascites albumin gradient (SAAG); portal hypertension-cirrhosis; HCV; ascites
Statistics
Article View: 361
PDF Download: 681