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NON-INVASIVE PARAMETERS FOR THE DETECTION OF VARICEAL BLEED IN PATIENTS OF LIVER CIRRHOSIS, AN EXPERIENCE OF A TERTIARAY CARE HOSPITAL IN PAKISTAN

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NON-INVASIVE PARAMETERS FOR THE DETECTION OF VARICEAL BLEED IN PATIENTS OF LIVER CIRRHOSIS, AN EXPERIENCE OF A TERTIARAY CARE HOSPITAL IN PAKISTAN
NON-INVASIVE PARAMETERS FOR THE DETECTION OF VARICEAL BLEED IN PATIENTS OF LIVER CIRRHOSIS, AN EXPERIENCE OF A TERTIARAY CARE HOSPITAL IN PAKISTAN

Anam Umar (First author & corresponding author)
Affiliation: Jinnah Postgraduate Medical Centre
Email address: anam_umar@hotmail.com
Mobile no: +923478300237

Fakhar Ali Qazi
Affiliation: Jinnah Postgraduate Medical Centre
Email address: dr_ar_lumhs@yahoo.com
Mobile no: +923332724599

Rukhsana Abdul Sattar
Affiliation: Jinnah Postgraduate Medical Centre
Email address: r.abdulsattar@hotmail.com
Mobile no: 923009204291

Beena Umar
Affiliation: Aga Khan University
Email address: binaumar@hotmail,com
Mobile no: +923478300237

Study carried out at Department of Medicine, Ward 5, Jinnah Postgraduate Medical Centre,
Karachi
Word Count 2,646

All of the authors declare that they have no conflict of interest.
Contributions of authors:
Anam Umar and Fakhar Ali Arisar designed the study, collected and analyzed the data and scripted the parts of manuscript, Beena Umar scripted the manuscript and reviewed the results and Rukhsana Abdul Aziz reviewed the manuscript.

ABSTRACT
Objective Cirrhotic patients commonly undergo screening endoscopy for the existence of esophageal varices. The use of this invasive procedure which is expensive, poorly tolerable and generally not acceptable for the patients is increasing due to increasing number of patients with chronic liver disease and their enriched survival. In this study, our aim is to identify clinical, biochemical, and ultrasonography parameters which might non-invasively predict the presence of esophageal varices and risk of bleeding in patients with liver cirrhosis.

Material and Methods Total 150 Patients of chronic liver disease admitted in ward-5, JPMC (Sep 2011-Feb 2012) with a complaint of hematemesis or melena were included in the study. Platelet counts of 75,000 to 150,000/µL was

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