Validation and Refinement of the Baveno VI Criteria for Ruling Out High-Risk Varices

In the past decade, numerous studies have evaluated the roles of noninvasive methods for diagnosing or excluding varices and high-risk varices in patients with liver cirrhosis. The Baveno VI criteria recommend the use of a simple algorithm based on a liver stiffness measurement<20 kPa through tra...

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Main Authors: Hong Zhou, Han Hu, Maoyong Tian, Jun Chu, Caiyun Tian, Yanqing Yang, Shide Lin
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/4217512
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author Hong Zhou
Han Hu
Maoyong Tian
Jun Chu
Caiyun Tian
Yanqing Yang
Shide Lin
author_facet Hong Zhou
Han Hu
Maoyong Tian
Jun Chu
Caiyun Tian
Yanqing Yang
Shide Lin
author_sort Hong Zhou
collection DOAJ
description In the past decade, numerous studies have evaluated the roles of noninvasive methods for diagnosing or excluding varices and high-risk varices in patients with liver cirrhosis. The Baveno VI criteria recommend the use of a simple algorithm based on a liver stiffness measurement<20 kPa through transient elastography and a platelet count>150×109/L for ruling out high-risk varices in patients with compensated advanced chronic liver disease. A large number of studies have validated the clinical usefulness of Baveno VI criteria for excluding high-risk varices. Several strategies have been proposed to refine the Baveno VI criteria; however, currently there is no review to summarize the diagnostic accuracy and limitations of the Baveno VI criteria after extensive validation. In this review, we summarize the diagnostic accuracy and limitations of the Baveno VI criteria after extensive validation. We also discuss methods to refine these criteria.
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institution Kabale University
issn 1687-6121
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language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-f83778e4177746e9b12650e9be70ace92025-02-03T01:00:12ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/42175124217512Validation and Refinement of the Baveno VI Criteria for Ruling Out High-Risk VaricesHong Zhou0Han Hu1Maoyong Tian2Jun Chu3Caiyun Tian4Yanqing Yang5Shide Lin6Department of Infectious Diseases, Affiliated Hospital of Zunyi Medical University, 201 Dalian Street, Guizhou 563003, ChinaDepartment of Infectious Diseases, Affiliated Hospital of Zunyi Medical University, 201 Dalian Street, Guizhou 563003, ChinaDepartment of Infectious Diseases, Xishui County People’s Hospital, Xiangjiang Street, Xishui, Guizhou 564600, ChinaDepartment of Infectious Diseases, Affiliated Hospital of Zunyi Medical University, 201 Dalian Street, Guizhou 563003, ChinaDepartment of Infectious Diseases, Affiliated Hospital of Zunyi Medical University, 201 Dalian Street, Guizhou 563003, ChinaDepartment of Infectious Diseases, Affiliated Hospital of Zunyi Medical University, 201 Dalian Street, Guizhou 563003, ChinaDepartment of Infectious Diseases, Affiliated Hospital of Zunyi Medical University, 201 Dalian Street, Guizhou 563003, ChinaIn the past decade, numerous studies have evaluated the roles of noninvasive methods for diagnosing or excluding varices and high-risk varices in patients with liver cirrhosis. The Baveno VI criteria recommend the use of a simple algorithm based on a liver stiffness measurement<20 kPa through transient elastography and a platelet count>150×109/L for ruling out high-risk varices in patients with compensated advanced chronic liver disease. A large number of studies have validated the clinical usefulness of Baveno VI criteria for excluding high-risk varices. Several strategies have been proposed to refine the Baveno VI criteria; however, currently there is no review to summarize the diagnostic accuracy and limitations of the Baveno VI criteria after extensive validation. In this review, we summarize the diagnostic accuracy and limitations of the Baveno VI criteria after extensive validation. We also discuss methods to refine these criteria.http://dx.doi.org/10.1155/2020/4217512
spellingShingle Hong Zhou
Han Hu
Maoyong Tian
Jun Chu
Caiyun Tian
Yanqing Yang
Shide Lin
Validation and Refinement of the Baveno VI Criteria for Ruling Out High-Risk Varices
Gastroenterology Research and Practice
title Validation and Refinement of the Baveno VI Criteria for Ruling Out High-Risk Varices
title_full Validation and Refinement of the Baveno VI Criteria for Ruling Out High-Risk Varices
title_fullStr Validation and Refinement of the Baveno VI Criteria for Ruling Out High-Risk Varices
title_full_unstemmed Validation and Refinement of the Baveno VI Criteria for Ruling Out High-Risk Varices
title_short Validation and Refinement of the Baveno VI Criteria for Ruling Out High-Risk Varices
title_sort validation and refinement of the baveno vi criteria for ruling out high risk varices
url http://dx.doi.org/10.1155/2020/4217512
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