Abstract
Background: Gastrointestinal bleeding is caused by a rupture of esophageal varices and is one of the common and serious complications in patients with cirrhosis. Early identification of esophagogastric varices and other mucosal features is really necessary for the preventive management, reducing the incidence of first bleeding and mortality. Objective: to describe esophagogastric mucosal changes on endoscopy in Child - Pugh A cirrhotic patients and investigate some factors associated to changes in upper gastrointestinal tract mucosa in these patients.
Methods: 70 cirrhotic patients with Child - Pugh A score were included in a cross-sectional descriptive study, at Hue University of Medicine and Pharmacy Hospital, Hue Central Hospital. Results: Esophageal varices 61.4%, gastric varices 8.6%, portal hypertensive gastropathy 44.3%. There are relationship between decreased prothrombin, spleen diameter, platelet count/spleen diameter ratio esophageal varices. ARFI correlates with esophageal varices at risk of bleeding.
Conclusion: Upper gastrointestinal endoscopy should be screened in cirrhotic patients with Child - Pugh A having ARFI higher than 20.5 kPa.
| Published | 2025-12-25 | |
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| Issue | Vol. 15 No. 7 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.7.8 | |
| Keywords | nội soi, xơ gan Child - Pugh A endoscopy, cirrhosis with Child - Pugh class A |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
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