Journals / Turkish Journal of Gastroenterology / 2019 / Cilt: 30 - Sayı: 7

The relationship between fibrosis and nodule structure and esophageal varices

Pages
624–629
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The spleen sizes were graded ultrasonographically, and theesophageal varices were graded endoscopically.Results: In the multivariate regression analysis, there was a correlation between the advanced disease stage (Child-Pugh score oddsratio (OR): 1.47, 95% confidence interval (CI): 1.018-2.121, p=0.040), presence of micronodularity (OR: 0.318, 95% CI: 0.120-0.842,p=0.021), grade of central venous loss (OR: 5.231, 95% CI: 1.132-24.176, p=0.034), and presence of esophageal varicose veins.Conclusion: Although thrombocytopenia and splenomegaly may predict the presence of large esophageal varices, cirrhosis histopathology is the main factor in the presence of varices.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background/Aims: The aim of the present study was to evaluate the histopathological findings of cirrhosis together with clinical andlaboratory parameters, and to investigate their relationship with esophageal varices that are portal hypertension findings.Materials and Methods: A total of 67 (42 male and 25 female) patients who were diagnosed with cirrhosis were included in the study.The mean age of the patients was 51.6±19.0 (1-81) years.
📊
Key Findings & Data:The biopsy specimens of the patients were graded in terms of fibrosis, nodularity, loss of portal area, central venous loss, inflammation, and steatosis.
💡
Conclusion & Impact:The spleen sizes were graded ultrasonographically, and theesophageal varices were graded endoscopically.Results: In the multivariate regression analysis, there was a correlation between the advanced disease stage (Child-Pugh score oddsratio (OR): 1.47, 95% confidence interval (CI): 1.018-2.121, p=0.040), presence of micronodularity (OR: 0.318, 95% CI: 0.120-0.842,p=0.021), grade of central venous loss (OR: 5.231, 95% CI: 1.132-24.176, p=0.034), and presence of esophageal varicose veins.Conclusion: Although thrombocytopenia and splenomegaly may predict the presence of large esophageal varices, cirrhosis histopathology is the main factor in the presence of varices.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Background/Aims: The aim of the present study was to evaluate the histopathological findings of cirrhosis together with clinical andlaboratory parameters, and to investigate their relationship with esophageal varices that are portal hypertension findings.Materials and Methods: A total of 67 (42 male and 25 female) patients who were diagnosed with cirrhosis were included in the study.The mean age of the patients was 51.6±19.0 (1-81) years. The biopsy specimens of the patients were graded in terms of fibrosis, nodularity, loss of portal area, central venous loss, inflammation, and steatosis. The spleen sizes were graded ultrasonographically, and theesophageal varices were graded endoscopically.Results: In the multivariate regression analysis, there was a correlation between the advanced disease stage (Child-Pugh score oddsratio (OR): 1.47, 95% confidence interval (CI): 1.018-2.121, p=0.040), presence of micronodularity (OR: 0.318, 95% CI: 0.120-0.842,p=0.021), grade of central venous loss (OR: 5.231, 95% CI: 1.132-24.176, p=0.034), and presence of esophageal varicose veins.Conclusion: Although thrombocytopenia and splenomegaly may predict the presence of large esophageal varices, cirrhosis histopathology is the main factor in the presence of varices.

🔖

Cite This Article

COŞAR, A. M., YAKAR, T., SERİN, E., ÖZER, B., KAYASELÇUK, F. (2019). The relationship between fibrosis and nodule structure and esophageal varices. Turkish Journal of Gastroenterology, Cilt: 30 - Sayı: 7, 624–629. https://ajindex.com/articles/409254

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Garcia-Tsao G, Groszmann RJ, Fisher RL, Conn HO, Atterbury CE, Glickman M. Portal pressure, presence of gastroesophageal varices and variceal bleeding. Hepatology 1985
  2. [CrossRef] 2. Morali GA, Sniderman KW, Deitel KM, et al. Is sinusoidal portal hypertension a necessary factor for the development of hepatic ascites? J Hepatol 1992
  3. [CrossRef] 3. Casado M, Bosch J, Garcia-Pagan JC, et al. Clinical events after transjugular intrahepatic portosystemic shunt: correlation with hemodynamic findings. Gastroenterology 1998
  4. [CrossRef] 4. Batts KP, Ludwig J. Chronic hepatitis. an update on terminology and reporting. Am J Surg Pathol 1995
  5. [CrossRef] 5. Arguedas MR, Heudebert GR, Eloubeidi MA, Abrams GA, Fallon MB. Cost-effectiveness of screening, surveillance, and primary prophylaxis strategies for oesophageal varices. Am J Gastroenterol 2002
  6. [CrossRef] 6. Poynard T, Cales P, Pasta L, et al. Beta adrenergic-antagonist drugs in the prevention of gastrointestinal bleeding in patients with cirrhosis and oesophageal varices. An analysis of data and prognostic factors in 589 patients from four randomized clinical trials. Franco-Italian Multicenter Study Group. N Engl J Med 1991
  7. [CrossRef] 7. Thabut D, Trabut JB, Massard J, et al. Non-invasive diagnosis of large oesophageal varices with FibroTest in patients with cirrhosis: A preliminary retrospective study. Liver Int 2006
  8. [CrossRef] 8. De Franchis R. Updating consensus in portal hypertension: Report of the Baveno III consensus workshop on definitions, methodology and therapeutic strategies in portal hypertension. J Hepatol 2000
  9. [CrossRef] 9. Giannini E, Botta F, Borro P, Risso D, et al. Platelet count/spleen diameter ratio: proposal and validation of a non-invasive parameter to predict the presence of oesophageal varices in patients with liver cirrhosis. Gut 2003
  10. [CrossRef] 10. Giannini EG, Botta F, Borro P, et al. Application of the platelet count/spleen diameterratio to rule out the presence of oesophageal varices in patients with cirrhosis: A validation study based on follow-up. Dig Liver Dis 2005
  11. [CrossRef] 11. Sharma SK, Aggarwal R. Prediction of large oesophageal varices in patients with cirrhosis of the liver using clinical, laboratory and imaging parameters. J Gastroenterol Hepatol 2007
  12. [CrossRef] 12. Schepis F, Camma C, Niceforo D, et al. Which patients with cirrhos