A study of platelet count/ spleen diameter ratio as a predictor of esophageal varices in patients of cirrhosis
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 4
Abstract
Background: Todays guidelines are clear that there are no substitute markers to determine the presence and size of esophageal varices, and endoscopy is still the only valid method to investigate varices. Objective: To validate the PC/SD ratio as a predictor of the presence and absence of esophageal varices in patients with chronic hepatopathy. Methodology: This study is an analytical cross-sectional validation study of a diagnostic test. The study was done in cases diagnosed of having hepatic cirrhosis by histology or physical, biochemical, and imaging examinations compatible with the disease and treatment from February 1, 2013 to December 31, 2014. Various hematological, biochemical and radiological work up was done. Results: Of the total cases, 29(70.7%) had PC/SD ratio more than 909 and only 12(29.3%) had less than 909. The sensitivity of PC/SD ratio of 909 in predicting varix is 89.66% and specificity was 75%. Thus it can be considered a good and reliable tool for predicting varices. Conclusion: The use of platelet count/ splenic diameter ratio in cirrhotic patients for screening and follow up for esophageal varices can substantially reduce the cost of health care and discomfort for patients as well as reduce burden of endoscopy unit.
Authors and Affiliations
Om Prakash Nayak, Nitesh Sukhwani
Keywords
Related Articles
- EP ID EP228645
- DOI 10.17511
- Views 198
- Downloads 0
A comparative study of clinical profile & investigative parameters of systemic lupus erythematosus patients with & without metabolic syndrome
Introduction: The Metabolic Syndrome (MetS) often contributes to increased cardiovascular risk in patients with systemic lupus erythematosus (SLE) especially in younger age group. Determining the contribution of SLE phen...
A study to assess the prevailing misconception on HIV/AIDS among rural population
Introduction: HIV, the human immunodeficiency virus, is the virus that causes AIDS. For many reasons, AIDS is a disease that commonly misunderstood disease and as a result, unduly feared, but the weapon against fear is k...
Comparative study on non descent vaginal hysterectomy verses abdominal hysterectomy for benign uterine conditions
Objectives: To determine superiority, safety and effectiveness of vaginal over abdominal route of hysterectomy and to show that vaginal hysterectomy requires shorter duration of surgery, less blood loss, early post opera...
Detection of malignant tissue in mammography image using morphology based segmentation technique
Breast cancer is the leading cause of the death among the women. Mammography is the best diagnostic technique for the breast cancer. But not all breast cancer can be seen by mammogram. Although breast cancer can be morta...
Obstructive sleep apnea and excessive day time sleepiness as measured by epworth sleepiness scale
Introduction: Many patients search for medical care for symptom of a sleep disorder, obstructive sleep apnea hypopnea syndrome (OSAHS). Currently overnight polysomnography is the gold standard for diagnosis of OSAHS. How...