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18469

Evaluation of ALBI, MELD and Child-Pugh Scores as non-Invasive Predictors of Esophageal Varices

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Last updated: 24 Dec 2024

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Abstract

Background: the prevalence of esophageal varices (OV) in newly diagnosed cirrhotic patients is approximately 60-80% and the 1-year rate of first variceal bleeding is approximately 5% for small esophageal varices & 15% for large esophageal varices. Non invasiveness has become a major goal in hepatology in the latter years, several serum markers and imaging methods have been tried for the non invasive assessment of portal hypertension or presence of esophageal varices. Aim of the work: this study aimed to compare ALBI, MELD and Child-pugh scores in prediction of esophageal varices and for discrimination between risky and non risky esophageal varices. Methods: in this Prospective study evaluation of of ALBI, MELD And Child-Pugh Scores As non-Invasive Predictors of Esophageal Varices was done in 80 patients with liver cirrhosis. They were divided into 2 groups, Group I: included 60 patients with liver cirrhosis & esophageal varices diagnosed by upper GIT endoscopy and will be divided into 3 subgroups 20 patients each as described below: Small, Moderate and Large esophageal varices. Group II: included 20 patients with liver cirrhosis with no esophageal varices as the control groupg. Results: the current study showed that ALBI score could be used as a non invasive predictor of esophageal varices with a cut-off value > - 2.2, with 96.7% sensitivity, 100% specificity, Child score could be used with a cut-off value > 5.5, with 93.3% sensitivity, 100% specificity, and MELD score could be used with a cut-off value > 8.5, with 90% sensitivity, 95% specificity. Conclusion: ALBI score is more accurate than Child and MELD scores as non invasive predictor of esophageal varices and its grading

DOI

10.21608/ejhm.2018.18469

Keywords

ALBI score, Child-Pugh score, MELD score, Esophageal varices

Authors

First Name

Amer Abdel Hamid

Last Name

Gomaa

MiddleName

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Affiliation

Tropical Medicine Department, Al-Azhar University-Cairo, Egypt

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Orcid

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First Name

Sayed Farouk

Last Name

Mohammed

MiddleName

-

Affiliation

Tropical Medicine Department, Al-Azhar University-Cairo, Egypt

Email

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Orcid

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First Name

Waleed Mohamed

Last Name

Mousa

MiddleName

-

Affiliation

Tropical Medicine Department, Al-Azhar University-Cairo, Egypt

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Orcid

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First Name

Nabil Fathy Esmael

Last Name

Hasan

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of Medicine, Al-Azhar University-Cairo, Egypt

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Orcid

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First Name

Mohamed Ahmed Mohamed

Last Name

Mhdy

MiddleName

-

Affiliation

Tropical Medicine Department, Al-Azhar University-Cairo, Egypt

Email

mhdy105@outlook.com

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-

Orcid

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Volume

73

Article Issue

8

Related Issue

3731

Issue Date

2018-10-01

Receive Date

2018-11-07

Publish Date

2018-10-01

Page Start

7,358

Page End

7,364

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_18469.html

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https://ejhm.journals.ekb.eg/service?article_code=18469

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24

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of ALBI, MELD and Child-Pugh Scores as non-Invasive Predictors of Esophageal Varices

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Article

Created At

22 Jan 2023