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Title: :  Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis
PaperId: :  14538
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 7 Issue 3 2021
DUI:    16.0415/IJARIIE-14538
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
Dr. Satish Kumar GuptaBir Hospital, NAMS, Kathmandu Nepal
Dr. Rajesh Kumar MandalBheri Hospital, Nepalgunj Nepal
Dr. Anju ShahPatan Academy of Health Sciences, Lalitpur, Nepal

Abstract

Medicine
Platelet count/spleen diameter ratio, liver cirrhosis, esophageal varices
Background: Esophageal varices and variceal hemorrhage are common complications of Liver cirrhosis leading to morbidity and mortality. Upper gastrointestinal endoscopy is the gold standard for demonstration of gastro-esophageal varices. Endoscopy facilities are not available in rural areas however the burden of liver cirrhosis is high. Early prediction of esophageal varices through non-invasive means may be life saving. Therefore this study was designed to identify the relationship between platelet count/splenic bipolar diameter ratio for prediction of presence of esophageal varices. Methodology: The study was a observational cross sectional study consisting of 53 patients of liver cirrhosis admitted at Bir Hospital, Kathmandu between July 2019 to December 2019. Upper gastrointestinal endoscopy was done to confirm varices. A platelet count/spleen diameter ratio cut-off value of 909 was evaluated for the diagnosis of esophageal varices. Statistical analysis was done using Statistical Package for the Social Sciences 20. Results: Esophageal varices were present in 44(83%) of cases. Small and large varices were present in 21(39.6%) and 23(43.4%) respectively. Platelet count to splenic diameter ratio with a cut off value of 909 had sensitivity of 54.5%, specificity of 88.9%, positive predictive value of 96% and negative predictive value of 22.8% (p=0.018 , CI=95%). Conclusions: Platelet count to spleen diameter ratio can be a good predictor of presence of esophageal varices in patient of liver cirrhosis in the resource poor settings.

Citations

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IJARIIE Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, and Dr. Anju Shah. "Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis" International Journal Of Advance Research And Innovative Ideas In Education Volume 7 Issue 3 2021 Page 2356-2364
MLA Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, and Dr. Anju Shah. "Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis." International Journal Of Advance Research And Innovative Ideas In Education 7.3(2021) : 2356-2364.
APA Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, & Dr. Anju Shah. (2021). Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis. International Journal Of Advance Research And Innovative Ideas In Education, 7(3), 2356-2364.
Chicago Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, and Dr. Anju Shah. "Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis." International Journal Of Advance Research And Innovative Ideas In Education 7, no. 3 (2021) : 2356-2364.
Oxford Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, and Dr. Anju Shah. 'Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis', International Journal Of Advance Research And Innovative Ideas In Education, vol. 7, no. 3, 2021, p. 2356-2364. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/Platelet_Count_Spleen_Diameter_Ratio_in_Prediction_of_Esophageal_Varices_in_Patients_with_Liver_Cirrhosis_ijariie14538.pdf (Accessed : 18 June 2021).
Harvard Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, and Dr. Anju Shah. (2021) 'Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis', International Journal Of Advance Research And Innovative Ideas In Education, 7(3), pp. 2356-2364IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/Platelet_Count_Spleen_Diameter_Ratio_in_Prediction_of_Esophageal_Varices_in_Patients_with_Liver_Cirrhosis_ijariie14538.pdf (Accessed : 18 June 2021)
IEEE Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, and Dr. Anju Shah, "Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis," International Journal Of Advance Research And Innovative Ideas In Education, vol. 7, no. 3, pp. 2356-2364, May-Jun 2021. [Online]. Available: https://ijariie.com/AdminUploadPdf/Platelet_Count_Spleen_Diameter_Ratio_in_Prediction_of_Esophageal_Varices_in_Patients_with_Liver_Cirrhosis_ijariie14538.pdf [Accessed : 18 June 2021].
Turabian Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, and Dr. Anju Shah. "Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 7 number 3 (18 June 2021).
Vancouver Dr. Satish Kumar Gupta, Dr. Rajesh Kumar Mandal, and Dr. Anju Shah. Platelet Count/Spleen Diameter Ratio in Prediction of Esophageal Varices in Patients with Liver Cirrhosis. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2021 [Cited : 18 June 2021]; 7(3) : 2356-2364. Available from: https://ijariie.com/AdminUploadPdf/Platelet_Count_Spleen_Diameter_Ratio_in_Prediction_of_Esophageal_Varices_in_Patients_with_Liver_Cirrhosis_ijariie14538.pdf
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