| Title | Identifying Patients With Cirrhosis Who Might Avoid Screening Endoscopy Based on Serum Albumin and Bilirubin and Platelet Counts. | ||
| Author | Kew, Guan Sen; Chen, Zhao Jin; Yip, Alexander Wenjun; Huang, Yu Wei Cheryl; Tan, Li Yin; Dan, Yock Young; Gowans, Michelle; Huang, Daniel Qingyao; Lee, Guan Huei; Lee, Yin Mei; Lim, Seng Gee; Low, How Cheng; Muthiah, Mark Dinesh; Tai, Bee Choo; Tan, Poh Seng | ||
| Journal | Clin Gastroenterol Hepatol | Publication Year/Month | 2021-Jan |
| PMID | 31712081 | PMCID | -N/A- |
| Affiliation + expend | 1.Division of Gastroenterology and Hepatology, National University Health System, Singapore. Electronic address: guan_sen_kew@nuhs.edu.sg. | ||
The presence of gastroesophageal varices is a major complication of portal hypertension associated with significant morbidity and mortality.(1) The Baveno VI criteria state that patients with liver stiffness measurement (LSM) <20 kPa by transient elastography (TE) and platelet count >150,000/muL can avoid screening endoscopy for high-risk varix (HRV).(2) However, because TE is not widely available, the Baveno VI criteria could not be applied in many clinical settings. As such, we aim to determine a concise clinical criterion as an alternative noninvasive tool to predict absence of HRV among patients with compensated cirrhosis to avoid screening esophagogastroduodenoscopy (EGD).