Evaluation of Noninvasive Tools for Predicting Esophageal Varices in Patients With Cirrhosis at Tygerberg Hospital, Cape Town
Conclusion: SSM and SSPS have the highest diagnostic accuracy for predicting the presence of EVs in patients with compensated cirrhosis. LSPS, LS3PS, and PSR come second at 94%. We recommend SSM and SSPS in institutions with transient elastography equipped with the software necessary to measure sple...
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Format: | Article |
Language: | English |
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Wiley
2024-01-01
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Series: | International Journal of Hepatology |
Online Access: | http://dx.doi.org/10.1155/2024/9952610 |
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author | Lawrence Kwape Shiraaz Gabriel Ahmad Abdelsalem Penelope Rose Lefika Bathobakae Dale Peterson Desiree Moodley Mohammed Parker Saadiq Moolla Arifa Parker Keatlaretse Siamisang Christoffel Van Rensburg Ernst Fredericks |
author_facet | Lawrence Kwape Shiraaz Gabriel Ahmad Abdelsalem Penelope Rose Lefika Bathobakae Dale Peterson Desiree Moodley Mohammed Parker Saadiq Moolla Arifa Parker Keatlaretse Siamisang Christoffel Van Rensburg Ernst Fredericks |
author_sort | Lawrence Kwape |
collection | DOAJ |
description | Conclusion: SSM and SSPS have the highest diagnostic accuracy for predicting the presence of EVs in patients with compensated cirrhosis. LSPS, LS3PS, and PSR come second at 94%. We recommend SSM and SSPS in institutions with transient elastography equipped with the software necessary to measure splenic stiffness. We introduce and propose LS3PS as a novel composite score for predicting the presence of EVs in patients with compensated cirrhosis. Large-sample-size studies are needed to validate these prediction scores and to allow direct comparison with Baveno VII. These prediction tools can help clinicians avoid unnecessary endoscopic procedures in patients with compensated cirrhosis, especially in developing countries with limited resources such as South Africa. |
format | Article |
id | doaj-art-018ed844ad754ed0b3498d87e2c83c82 |
institution | Kabale University |
issn | 2090-3456 |
language | English |
publishDate | 2024-01-01 |
publisher | Wiley |
record_format | Article |
series | International Journal of Hepatology |
spelling | doaj-art-018ed844ad754ed0b3498d87e2c83c822025-02-03T00:20:43ZengWileyInternational Journal of Hepatology2090-34562024-01-01202410.1155/2024/9952610Evaluation of Noninvasive Tools for Predicting Esophageal Varices in Patients With Cirrhosis at Tygerberg Hospital, Cape TownLawrence Kwape0Shiraaz Gabriel1Ahmad Abdelsalem2Penelope Rose3Lefika Bathobakae4Dale Peterson5Desiree Moodley6Mohammed Parker7Saadiq Moolla8Arifa Parker9Keatlaretse Siamisang10Christoffel Van Rensburg11Ernst Fredericks12Division of Gastroenterology and HepatologyDivision of Gastroenterology and HepatologyDivision of Gastroenterology and HepatologyDepartment of Paediatrics and Child HealthInternal MedicineDivision of Gastroenterology and HepatologyDivision of Gastroenterology and HepatologyDivision of Gastroenterology and HepatologyDivision of PulmonologyUnit for Infection Prevention and ControlDepartment of Family Medicine and Public HealthDivision of Gastroenterology and HepatologyDivision of Gastroenterology and HepatologyConclusion: SSM and SSPS have the highest diagnostic accuracy for predicting the presence of EVs in patients with compensated cirrhosis. LSPS, LS3PS, and PSR come second at 94%. We recommend SSM and SSPS in institutions with transient elastography equipped with the software necessary to measure splenic stiffness. We introduce and propose LS3PS as a novel composite score for predicting the presence of EVs in patients with compensated cirrhosis. Large-sample-size studies are needed to validate these prediction scores and to allow direct comparison with Baveno VII. These prediction tools can help clinicians avoid unnecessary endoscopic procedures in patients with compensated cirrhosis, especially in developing countries with limited resources such as South Africa.http://dx.doi.org/10.1155/2024/9952610 |
spellingShingle | Lawrence Kwape Shiraaz Gabriel Ahmad Abdelsalem Penelope Rose Lefika Bathobakae Dale Peterson Desiree Moodley Mohammed Parker Saadiq Moolla Arifa Parker Keatlaretse Siamisang Christoffel Van Rensburg Ernst Fredericks Evaluation of Noninvasive Tools for Predicting Esophageal Varices in Patients With Cirrhosis at Tygerberg Hospital, Cape Town International Journal of Hepatology |
title | Evaluation of Noninvasive Tools for Predicting Esophageal Varices in Patients With Cirrhosis at Tygerberg Hospital, Cape Town |
title_full | Evaluation of Noninvasive Tools for Predicting Esophageal Varices in Patients With Cirrhosis at Tygerberg Hospital, Cape Town |
title_fullStr | Evaluation of Noninvasive Tools for Predicting Esophageal Varices in Patients With Cirrhosis at Tygerberg Hospital, Cape Town |
title_full_unstemmed | Evaluation of Noninvasive Tools for Predicting Esophageal Varices in Patients With Cirrhosis at Tygerberg Hospital, Cape Town |
title_short | Evaluation of Noninvasive Tools for Predicting Esophageal Varices in Patients With Cirrhosis at Tygerberg Hospital, Cape Town |
title_sort | evaluation of noninvasive tools for predicting esophageal varices in patients with cirrhosis at tygerberg hospital cape town |
url | http://dx.doi.org/10.1155/2024/9952610 |
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