Noninvasive predictors of large esophageal varices: is there an emerging role of aspartate aminotransferase-to-platelet ratio index in hepatocellular carcinoma?
Background and aim Variceal size has been identified to be closely related to variceal bleeding. Repeated endoscopic examinations have a great burden on endoscopic units and cost-implication issues. Our aim was to evaluate the role of AST to platelet ratio index (APRI) in predicting the existence o...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2015-01-01
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| Series: | The Egyptian Journal of Internal Medicine |
| Subjects: | |
| Online Access: | http://www.esim.eg.net/article.asp?issn=1110-7782;year=2015;volume=27;issue=4;spage=139;epage=146;aulast=Sedrak |
| _version_ | 1819171866801078272 |
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| author | Heba Sedrak Rania Khalifa Ahmed Elkafrawy Hany Elewa |
| author_facet | Heba Sedrak Rania Khalifa Ahmed Elkafrawy Hany Elewa |
| author_sort | Heba Sedrak |
| collection | DOAJ |
| description | Background and aim
Variceal size has been identified to be closely related to variceal bleeding. Repeated endoscopic examinations have a great burden on endoscopic units and cost-implication issues. Our aim was to evaluate the role of AST to platelet ratio index (APRI) in predicting the existence of large esophageal varices (EV) in hepatitis C virus-related liver cirrhotic patients.
Patients and methods
Seventy four patients with liver cirrhosis were prospectively recruited. Laboratory data, CTP, MELD and APRI, also ultrasonographic and endoscopic findings are performed and investigated whether associated with the size and bleeding of EV.
Results
Patients were divided into two groups; group 1 with small varices and group 2 with large varices. Group 2 had significantly prolonged prothrombin time, splenomegaly, ascites, higher Child score compared to group 1. CTP was associated with variceal bleeding (P = 0.028). While APRI was a poor predictor both for the presence of LVs and bleeding yet it revealed favorable Results with bleeding EVs in patients with HCC with AUC (0.61). APRI was a good predictor for the presence of HCC and number of focal lesions with AURC (0.651, 0.61 respectively).
Conclusion
Splenomegaly, CTP, ascites could be used as noninvasive predictors for large EVs. However, at the moment, these tests could not substitute for endoscopy. Although APRI is a poor predictor for the size and bleeding of EV, yet it might have a role in prediction of HCC and number of focal lesions. |
| first_indexed | 2024-12-22T19:58:06Z |
| format | Article |
| id | doaj.art-53c448d1cb9245a7ad85a458a19e2589 |
| institution | Directory Open Access Journal |
| issn | 1110-7782 2090-9098 |
| language | English |
| last_indexed | 2024-12-22T19:58:06Z |
| publishDate | 2015-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Internal Medicine |
| spelling | doaj.art-53c448d1cb9245a7ad85a458a19e25892022-12-21T18:14:22ZengSpringerOpenThe Egyptian Journal of Internal Medicine1110-77822090-90982015-01-0127413914610.4103/1110-7782.174935Noninvasive predictors of large esophageal varices: is there an emerging role of aspartate aminotransferase-to-platelet ratio index in hepatocellular carcinoma?Heba SedrakRania KhalifaAhmed ElkafrawyHany ElewaBackground and aim Variceal size has been identified to be closely related to variceal bleeding. Repeated endoscopic examinations have a great burden on endoscopic units and cost-implication issues. Our aim was to evaluate the role of AST to platelet ratio index (APRI) in predicting the existence of large esophageal varices (EV) in hepatitis C virus-related liver cirrhotic patients. Patients and methods Seventy four patients with liver cirrhosis were prospectively recruited. Laboratory data, CTP, MELD and APRI, also ultrasonographic and endoscopic findings are performed and investigated whether associated with the size and bleeding of EV. Results Patients were divided into two groups; group 1 with small varices and group 2 with large varices. Group 2 had significantly prolonged prothrombin time, splenomegaly, ascites, higher Child score compared to group 1. CTP was associated with variceal bleeding (P = 0.028). While APRI was a poor predictor both for the presence of LVs and bleeding yet it revealed favorable Results with bleeding EVs in patients with HCC with AUC (0.61). APRI was a good predictor for the presence of HCC and number of focal lesions with AURC (0.651, 0.61 respectively). Conclusion Splenomegaly, CTP, ascites could be used as noninvasive predictors for large EVs. However, at the moment, these tests could not substitute for endoscopy. Although APRI is a poor predictor for the size and bleeding of EV, yet it might have a role in prediction of HCC and number of focal lesions.http://www.esim.eg.net/article.asp?issn=1110-7782;year=2015;volume=27;issue=4;spage=139;epage=146;aulast=SedrakAspartate aminotransferase-to-platelet ratio index, esophageal varices, hepatitis C virus-related liver cirrhosis, large varices, noninvasive |
| spellingShingle | Heba Sedrak Rania Khalifa Ahmed Elkafrawy Hany Elewa Noninvasive predictors of large esophageal varices: is there an emerging role of aspartate aminotransferase-to-platelet ratio index in hepatocellular carcinoma? The Egyptian Journal of Internal Medicine Aspartate aminotransferase-to-platelet ratio index, esophageal varices, hepatitis C virus-related liver cirrhosis, large varices, noninvasive |
| title | Noninvasive predictors of large esophageal varices: is there an emerging role of aspartate aminotransferase-to-platelet ratio index in hepatocellular carcinoma? |
| title_full | Noninvasive predictors of large esophageal varices: is there an emerging role of aspartate aminotransferase-to-platelet ratio index in hepatocellular carcinoma? |
| title_fullStr | Noninvasive predictors of large esophageal varices: is there an emerging role of aspartate aminotransferase-to-platelet ratio index in hepatocellular carcinoma? |
| title_full_unstemmed | Noninvasive predictors of large esophageal varices: is there an emerging role of aspartate aminotransferase-to-platelet ratio index in hepatocellular carcinoma? |
| title_short | Noninvasive predictors of large esophageal varices: is there an emerging role of aspartate aminotransferase-to-platelet ratio index in hepatocellular carcinoma? |
| title_sort | noninvasive predictors of large esophageal varices is there an emerging role of aspartate aminotransferase to platelet ratio index in hepatocellular carcinoma |
| topic | Aspartate aminotransferase-to-platelet ratio index, esophageal varices, hepatitis C virus-related liver cirrhosis, large varices, noninvasive |
| url | http://www.esim.eg.net/article.asp?issn=1110-7782;year=2015;volume=27;issue=4;spage=139;epage=146;aulast=Sedrak |
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