BCS is a clinical condition caused by hepatic venous outflow obstruction mainly due to an
underlying thrombotic disorder. BCS patients are found to have portal hypertensive gastropathy
(PHG) together with esophageal varices (OV) with or without gastric varices. Esophageal varices
represented the main source as well as the main independent predictor for bleeding unrelated
to invasive therapy for BCS. So, the intensification of prophylaxis for the first or recurrent
bleeding might decrease bleeding on anticoagulation therapy.
This study evaluated portal hypertension index and liver vascular index in the prediction of
esophagogastric varices in Egyptian patients with Budd Chiari syndrome.
A total of 50 patients with BCS were subjected to upper GI endoscopy for the presence and
grading of oesophageal varices and accordingly were divided into GI: variceal group and GII
non-variceal group. More subgrouping of the GI was according to the varices size into SGIa
(small varices) and SGIb (large varices). Ultrasound with Doppler evaluated the sonographic
parameters and indices of portal hypertension.
The results showed that PHTN index was higher in OV patients than in those without (P:
<0.001), with a highly significant difference between groups (P=0.000). LVI was lower in OV
patients than in those without (P: <0.001), with a highly significant difference between groups
(P=0.000).