Correlation of Grading of Esophageal Varices with Child Turcotte Pugh Class in Patients of Liver Cirrhosis

Shrestha, Anil; Khadka, Dipendra; Shrestha, Richa

doi:10.3126/jngmc.v16i2.24879

Cited by 2 publications

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“…Among 97 patients, 30 (30.9%) were in Child Turcotte Pugh class A, 30 (30.9%) in CTP class B and 37 (38.1 %) were in CTP class C. Small varices were found in 25 (8%) patients; 52% of patients had large varices with red color sign and 20.6% had large varices without red color sign [ 16 ]. In another study, the prevalence of esophageal varices was higher in CTP class C [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Detection and Management of Esophagogastric Varices

Shrestha

Thapa

Yadav

et al. 2021

Cureus

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IntroductionGastrointestinal (GI) varices are abnormally dilated submucosal veins in the digestive tract caused due to portal hypertension. Esophagus and stomach are common locations of varices induced by portal hypertension. Their presence correlates with the severity of the liver disease. Endoscopic variceal band ligation is one of the preferred methods for bleeding and nonbleeding large varices to decrease bleeding risk. Tissue adhesives such as N-butyl-2-cyanoacrylate have been used for gastric variceal obturation. MethodsThis descriptive study was conducted in the Department of Gastroenterology, National Academy of Medical Sciences, Kathmandu, Nepal, from March 2014 to January 2020. The endoscopic detection of esophageal and gastric varices was observed. Endoscopic variceal ligation (EVL) was done for esophageal varices and injection of N-butyl 2-cyanoacrylate for gastric varices. ResultsEsopahageal varices were detected in 1266 patients (8%) and gastric varices were in 36 patients (0.2%) among 15,657 patients undergoing upper gastrointestinal (UGI) endoscopy. Nine hundred seven (71.6%) were male. Large esophageal varices were endoscopically detected in 54.8% patients, small varices in 31.4% and both (large and small varices) in 13.4%. EVL was done in 30.7% and EVL with cyanoacrylate glue injection in 35 patients (2.7%). ConclusionEsophageal and gastric varices are seen commonly in patients with chronic liver disease. This study was conducted to describe the different types of GI varices in patients undergoing UGI endoscopy. Variceal band ligation for esophageal varices and glue injection for gastric varices are viable options of management.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Detection and Management of Esophagogastric Varices

Shrestha

Thapa

Yadav

et al. 2021

Cureus

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“…Among patients with varices, 33% had small and 57.1% had large esophageal varices. Study by Shrestha et al 14…”

Section: Profile Of Variceal Assessmentmentioning

confidence: 99%

Correlation of Child-Pugh Classification with Esophageal Varices in Patients with Liver Cirrhosis

Tiwari¹,

Thapa²,

Karki³

et al. 2022

J. Nepalgunj Med. College

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Introduction: The severity of the chronic liver disease can be assessed by several non-invasive methods one of them includes scoring system like Child-Pugh classification. Aims: The objective of this study was to assess the correlation of Child Pugh class with esophageal varices in patients with liver cirrhosis. Methods: This was a cross-sectional hospital-based study of 406 patients with liver cirrhosis. Demographic and relevant clinical data were collected using a standardized questionnaire. Abdominal ultrasound, liver function test, full blood count, viral markers were done for all patients. All patients underwent upper gastrointestinal endoscopy to screen for varices and if found were categorized as small and large. Results: A total of 406 patients with a mean age of 48 ± 11 years were evaluated. There were 72.4% and 27.6% men and women respectively. Variceal screening by upper gastrointestinal endoscopy revealed esophageal varices in 90.1% patients. By Child-Pugh Classification, 60 (14.8%) patients were in class A, 156 (38.4%) in class B and 190 (46.8%) in class C. Among patients with Child class A, 29 (48.3%) had varices. Similarly, 147 (94.2%) and 190 (100%) of Child class B & C had varices respectively. Odds of presence of esophageal varix were 9 times higher for patients with Child-Pugh Classification B and C compared to class A. Conclusion: Most patients with cirrhosis present late and with advanced stage in this referral center. Most have esophageal varices on their first screening endoscopy. Child-Pugh classification is a reliable measure of stratifying variceal risk in chronic liver disease patients.

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Correlation of Grading of Esophageal Varices with Child Turcotte Pugh Class in Patients of Liver Cirrhosis

Cited by 2 publications

References 4 publications

Endoscopic Detection and Management of Esophagogastric Varices

Endoscopic Detection and Management of Esophagogastric Varices

Correlation of Child-Pugh Classification with Esophageal Varices in Patients with Liver Cirrhosis

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