Portal Hypertension Clinical Trial
Official title:
Correlation of Platelets Count With Endoscopic Findings in a Cohort of Egyptian Patients With Liver Cirrhosis
Portal hypertension is a common complication of liver cirrhosis that can lead to development
of esophageal varices (EV). They are abnormally dilated veins within the wall of the
esophagus that lead to haemorrhage (1). Majority of patients with cirrhosis will develop EV
at some point, and about third of these patients will have at least one bleeding episode
because of rupture of a varix . For this reason, screening endoscopy for detection of the
presence of EV should be part of the diagnostic work-up in patients with cirrhosis. This is
a very important preventive step for identification of those patients with variceal bleeding
risk and furthermore, identification of patients in urgent need for prophylactic treatment.
All guidelines stress on screening endoscopy for early detection of EV in cirrhotic patients
with portal hypertension. However this approach is limited by its invasiveness and cost
effectiveness issues of screening endoscopy .
Recent research has focused on the use of noninvasive methods to detect patients with the intention of avoiding endoscopy in low-risk cases . Thrombocytopenia (platelet count < 150,000/μl) is a common complication in patients of chronic liver disease (CLD) . So, the investigators in this research formulated this study to determine whether platelet count can predict the presence of EV or varices which need prophylactic therapy (medium or large size EV) in a cohort of Egyptian patients with liver cirrhosis and can identify patients with the intention of avoiding endoscopy in low-risk cases. ;
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