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Information Journal Paper

Title

The Right Liver Lobe Size/Albumin Concentration Ratio in Identifying Esophageal Varices among Patients with Liver Cirrhosis

Pages

  32-37

Abstract

 BACKGROUND: It is necessity to work more on non-invasive markers like right liver lobe size/albumin concentration ratio for predicting Esophageal varices. We aimed to see the right liver lobe/albumin ratio in identifying Esophageal varices among patients with cirrhosis caused by hepatitis B and C. METHODS: A cross-sectional study was conducted among all indoor patients admitted to the Department of Internal Medicine, Pakistan Atomic Energy Commission, General Hospital, Sector H-11/4 Islamabad, Pakistan, during May-December 2016. A non-probability purposive sampling technique was used for data collection. Diagnosed cases of cirrhosis caused by hepatitis B and C virus infection aged 25 years or more were included. A pre-designed questionnaire was used for data collection. Statistical analysis was done using SPSS software version 20. RESULTS: A total number of 160 patients were included. Mean ± SD age was 56. 04 ± 10. 22 years, while 96 (60%) were men. Child-Turcotte-Pugh grades showed 41. 88% of the patients with grade A, followed by grade B (38. 12%), and grade C (20%). Esophageal varices were observed in 76. 25% of the patients. The sensitivity was 86. 89%, while specificity was 78. 95%. The positive predictive value was 92. 98% (95% confidence interval [CI] = 86. 64%-96. 91%) and negative predictive value was 65. 22% (CI = 49. 75%-78. 64%) with a diagnostic accuracy of 85%. CONCLUSION: The use of the studied non-invasive markers of Portal hypertension particularly the right liver lobe size/albumin concentration ratio, can help physicians to restrict the use of endoscopic screening only to patients presenting a high probability of Esophageal varices.

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    APA: Copy

    Akram, Muhammad, SOOMRO, MUNAWAR HUSSAIN, & Magsi, Mansoor. (2019). The Right Liver Lobe Size/Albumin Concentration Ratio in Identifying Esophageal Varices among Patients with Liver Cirrhosis. MIDDLE EAST JOURNAL OF DIGESTIVE DISEASES (MEJDD), 11(1), 32-37. SID. https://sid.ir/paper/973172/en

    Vancouver: Copy

    Akram Muhammad, SOOMRO MUNAWAR HUSSAIN, Magsi Mansoor. The Right Liver Lobe Size/Albumin Concentration Ratio in Identifying Esophageal Varices among Patients with Liver Cirrhosis. MIDDLE EAST JOURNAL OF DIGESTIVE DISEASES (MEJDD)[Internet]. 2019;11(1):32-37. Available from: https://sid.ir/paper/973172/en

    IEEE: Copy

    Muhammad Akram, MUNAWAR HUSSAIN SOOMRO, and Mansoor Magsi, “The Right Liver Lobe Size/Albumin Concentration Ratio in Identifying Esophageal Varices among Patients with Liver Cirrhosis,” MIDDLE EAST JOURNAL OF DIGESTIVE DISEASES (MEJDD), vol. 11, no. 1, pp. 32–37, 2019, [Online]. Available: https://sid.ir/paper/973172/en

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