Razia Perveen, Javed Iqbal, Mohammad Imran, Uzma Waseem.
Assessment of Portal Vein Diameter (PVD) for Predicting Esophageal Varices (EV) in Cirrhotic Patients.
Proceeding Shaikh Zayed Postgrad Med Comp Jan ;24(1):103-7.

Objective: To assess the diameter of the portal vein for predicting esophageal varices (EV) in a group of cirrhotic patients. Study Design: Cross sectional study. Place and Duration of Study: Study was conducted in Medical Department of Services Hospital from December 2008 to June 2009. Material and Methods: One hundred and eighty cirrhotic patients with age range 20-60 years were admitted in Medical Department of Services, Lahore, to analyse, assess and document, the diameter of portal vein as a non invasive parameters taken by ultrasonography to predict esophageal varies in cirrhotic patients. It was confirmed by endoscopy taken as gold standard. Results: Portal vein diameter (PVD) has mean sensitivity of 98.5%, specificity of 90.2%, diagnostic accuracy of 96.6%, positive predictive value of 97.1% and negative predictive value of 94.8% in detecting EV. Positive percentage of EV via endoscopy was 78.3%. On the other hand positive percentages of EV via PVD was 76.1%. Conclusion: It is therefore concluded that patients of chronic liver disease of any etiology can be screened for esophageal varices using PVD as a non invasive parameters.

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