Journal of Liver

Refaat Fathy Abd EL-aal

Publications

• Research Article
  Non-Invasive Parameters of Oesophageal Varices Diagnosis: Which Sensitive and Applicable; A Pilot Study
  Author(s): Elham Ahmed Hassan, Abeer Sharaf El-din Abd El-rehim, Zain El-Abdeen Ahmed Sayed, Emad Farah Mohamed Kholef, Mostafa Abdullah Mohammed Hareedy and Refaat Fathy Abd EL-aalElham Ahmed Hassan, Abeer Sharaf El-din Abd El-rehim, Zain El-Abdeen Ahmed Sayed, Emad Farah Mohamed Kholef, Mostafa Abdullah Mohammed Hareedy and Refaat Fathy Abd EL-aal
  
  Background: Oesophageal varices (OV) have the greatest clinical impact. Upper endoscopy is the gold standard for OV diagnosis, despite its own limitations. Non-invasive detection of OV promises to decrease the necessity of endoscopic screening. Objectives: To assess blood ammonia level, spleen longitudinal (SLD), portal vein (PVD), splenic vein (SVD) diameters, platelets count and platelets/SLD ratio to evaluate their predictive accuracy as non-invasive indicators for the presence of OV and their correlation with variceal size. Patients and methods: This was a prospective study. Sixty cirrhotic patients were screened using upper endoscopy (for the presence and size of OV) and abdominal ultrasonography (for measurement of PVD, SVD, SLD). Fasting blood ammonia level, platelets / SLD ratio were measured. Results: Bloo.. View More»
  DOI: 10.4172/2167-0889.1000182

  Abstract PDF