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Home > Archives > Volume 20, No 8 (2022) > Article

DOI: 10.14704/nq.2022.20.8.NQ44602

Can hepatic vein waveforms predict the presence of esophageal varices?

Ebtsam Elsayed Abdelmonem Abdallah, Salama Shaaban Alghonaimy, Amira Mohammad Soliman, Mohamed Ibrahim Amin

Abstract

Background: Portal hypertension often leads to the development of unsightly varices. Presence of non invasive method for their prediction will improve patients life quality and increase their adherence to follow up. Aim: To evaluate the value of hepatic vein waveforms in prediction of esophageal varices in cirrhotic patients as a non-invasive tool to discriminate the patients who need upper endoscopy from those who don’t need. Subjects and Methods: This cross-sectional trial included 48 cirrhotic patients (as evidenced with history, clinical examination, biochemical data and pelviabdominal ultrasound) which were divided into 2 groups according to presence of esophageal varices. Group (1): 26 patients with esophageal varices. Group (2): 22 patients without esophageal varices. Results: HVW distributed as 68.7% monophasic, 12.5% biphasic, and 18.8% triphasic. 96.2% (25/ 26) of patients with esophageal varices had monophasic waveform and 90% of patients in Child Pugh class C also had monophasic waveform. There is no significant relation between severity of ascites and HVW. Conclusion: Monophasic hepatic vein waveform is a good non-invasive indicator for presence of esophageal varices and advanced cirrhosis.

Keywords

Hepatic Vein Waveform, Esophageal Varices, Cirrhotic Patients

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